racism research essay

• Study protocol
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• Published: 28 March 2019

The impact of racism on the future health of adults: protocol for a prospective cohort study

• James Stanley   ORCID: orcid.org/0000-0002-8572-1047 1 ,
• Ricci Harris 2 ,
• Donna Cormack 2 ,
• Andrew Waa 2 &
• Richard Edwards 1  

BMC Public Health volume  19 , Article number:  346 ( 2019 ) Cite this article

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Racial discrimination is recognised as a key social determinant of health and driver of racial/ethnic health inequities. Studies have shown that people exposed to racism have poorer health outcomes (particularly for mental health), alongside both reduced access to health care and poorer patient experiences. Most of these studies have used cross-sectional designs: this prospective cohort study (drawing on critical approaches to health research) should provide substantially stronger causal evidence regarding the impact of racism on subsequent health and health care outcomes.

Participants are adults aged 15+ sampled from 2016/17 New Zealand Health Survey (NZHS) participants, sampled based on exposure to racism (ever exposed or never exposed, using five NZHS questions) and stratified by ethnic group (Māori, Pacific, Asian, European and Other). Target sample size is 1680 participants (half exposed, half unexposed) with follow-up survey timed for 12–24 months after baseline NZHS interview. All exposed participants are invited to participate, with unexposed participants selected using propensity score matching (propensity scores for exposure to racism, based on several major confounders). Respondents receive an initial invitation letter with choice of paper or web-based questionnaire. Those invitees not responding following reminders are contacted for computer-assisted telephone interview (CATI).

A brief questionnaire was developed covering current health status (mental and physical health measures) and recent health-service utilisation (unmet need and experiences with healthcare measures). Analysis will compare outcomes between those exposed and unexposed to racism, using regression models and inverse probability of treatment weights (IPTW) to account for the propensity score sampling process.

This study will add robust evidence on the causal links between experience of racism and subsequent health. The use of the NZHS as a baseline for a prospective study allows for the use of propensity score methods during the sampling phase as a novel approach to recruiting participants from the NZHS. This method allows for management of confounding at the sampling stage, while also reducing the need and cost of following up with all NZHS participants.

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Differential access to the social determinants of health both creates and maintains unjust and avoidable health inequities [ 1 ]. In New Zealand, these inequities are largely patterned by ethnicity, particularly for Māori (the indigenous peoples) and Pacific peoples, and intertwined with ethnic distributions of socioeconomic status [ 2 , 3 ]. In models of health, racism is recognised as a key social determinant that underpins systemic ethnic health and social inequities, as is evident in New Zealand and elsewhere [ 4 , 5 ].

Racism can be understood as an organised system based on the categorisation and ranking of racial/ethnic groups into social hierarchies whereby ethnic groups are assigned differential value and have differential access to power, opportunities and resources, resulting in disadvantage for some groups and advantage for others [ 4 , 6 ]. Historical power relationships underpin systems of racism [ 7 ], which in New Zealand relates specifically to our colonial history and ongoing colonial processes [ 8 ].

Racism can be expressed at structural and individual levels, with several taxonomies describing different levels of racism. Institutionalised racism, for example, has been defined as, “the structures, policies, practices, and norms resulting in differential access to the goods, services, and opportunities of society by race[/ethnicity]” (p. 10) [ 6 ]. In contrast, personally-mediated racism has been defined as, “prejudice and discrimination, where prejudice is differential assumptions about the abilities, motives, and intents of others by ‘race[/ethnicity],’ and discrimination is differential actions towards others by ‘race[/ethnicity]’” (p. 10) [ 6 ].

The multifarious expressions of racism can affect health via several recognised direct and indirect pathways. Indirect pathways include differential access to societal resources and health determinants by race/ethnicity, as evidenced by long-standing ethnic inequities in income, education, employment and living standards in New Zealand, with subsequent impacts on living environments and exposure to risk and protective factors [ 4 , 6 , 9 , 10 ]. At the individual level, experience of racism can affect health directly through physical violence and stress pathways, with negative psychological and physiological impacts leading to subsequent mental and physical health consequences. In addition, racism influences healthcare via institutions and individual health providers, leading to ethnic inequities in access to and quality of care. For example, ethnic disparities in socioeconomic status can indirectly result in differential access to care, while health provider ethnic bias can influence the quality and outcomes of healthcare interactions [ 11 ].

There has been considerable recent growth in research supporting a direct link between experience of racism and health. A recent systematic review and meta-analysis summarised the evidence for direct links between self-reported personally-mediated racism and negative physical and mental health outcomes [ 12 ], with the strongest effect sizes demonstrated for mental health. Related work has also shown that experience of racial discrimination is associated with other adverse health outcomes and preclinical indicators of disease and health risk across various ethnic groups and countries, including in New Zealand [ 9 , 13 , 14 , 15 ]. Experience of racism has also been linked to a range of negative health care-related measures [ 16 ].

However, most studies have used cross-sectional designs: very few of the articles in a recent systematic review [ 12 ] used prospective or longitudinal designs ( n  = 30, 9% of total, including multiple articles from some studies), limiting our ability to draw strong causal conclusions as the direction of causality cannot be determined when racism exposure and health outcomes are measured at the same time. Additionally, cross-sectional studies may give biased estimates of the magnitude of association between experience of racism and health: for example, bias may occur if experience of ill health (outcome) increases reporting or perception of racism (exposure) [ 12 ]. This is suggested by meta-analyses where effect sizes for the association between racism and mental health were larger for cross-sectional compared to longitudinal studies [ 12 ]. Longitudinal research on the effects of racism has been particularly limited with respect to physical health outcomes and measures of healthcare access and quality [ 12 , 16 ]. Finally, existing prospective studies have largely been restricted to quite specific groups (e.g. adolescents, females, particular ethnic groups), with a limited number of studies undertaken at a national population level and few with sufficient data to explore the impact of racism on the health of Indigenous populations [ 12 ].

In New Zealand, reported experience of racism is substantially higher among Māori, Asian and Pacific ethnic groupings compared to European [ 3 , 17 ]. In our own research, we have examined cross-sectional links between reported experience of racism and various measures of adult health in New Zealand using data from the New Zealand Health Survey (NZHS), an annual national survey by the Ministry of Health including ~ 13,000 adults per annum [ 2 , 18 , 19 ]. In these studies [ 17 , 20 , 21 , 22 ] we have shown that both individual experience of racism (e.g. personal attacks or unfair treatment) and markers of structural racism (deprivation, other socioeconomic indicators) are independently associated with poor health (mental health, physical health, cardiovascular disease), health risks (smoking, hazardous alcohol consumption) and healthcare experience and use (screening, unmet need and negative patient experiences). Other New Zealand researchers have reported similar findings including studies among older Māori [ 23 ], adolescents [ 24 ], and for maternal and child health outcomes [ 25 ]. However, evidence from New Zealand prospective studies is still limited. The NZ Attitudes and Values study showed that, among Māori, experience of racism was negatively linked to subsequent wellbeing [ 26 ], and the Growing Up in New Zealand study reported that maternal experience of racism (measured antenatally) was linked to a higher risk of postnatal depression among Māori, Pacific and Asian women [ 27 ].

While empirical evidence of the links between racism and health is growing in New Zealand, it remains limited in several areas. There is consistent evidence from cross-sectional studies for the hypothesis that racism is associated with poorer health and health care. This study seeks to build on existing research to provide more robust causal evidence using a prospective design that helps to rule out reverse causality, in order to inform policy and healthcare interventions.

Theoretical and conceptual approaches

Addressing racism as a health determinant is intrinsically linked to addressing ethnic health inequities. In New Zealand, Māori health is of special relevance given Māori rights under the Treaty of Waitangi [ 28 ] and the United Nations Declaration on the Rights of Indigenous People [ 29 ], and in recognition of the inequities for Māori across most major health indicators [ 28 ]. We recognise the direct significance of this project to Māori and understand racism in its broader sense as underpinning our colonial history with ongoing contemporary manifestations and effects [ 8 ]. As such, our work is informed by critical approaches to health research that are explicitly concerned with understanding inequity and transforming systems and structures to achieve the goal of health equity. This includes decolonising and transformative research principles [ 30 ] that influence our approach to the research question, data collection, analysis and interpretation of data, and translation of research findings. The team includes senior Māori researchers as well as advisors with experience in Māori health research and policy.

Aims and research questions

The overall aim is to examine the relationship between reported experience of racism and a range of subsequent health measures. The specific objectives are:

To determine whether experience of racism leads to poorer mental health and/or physical health.

To determine the impact of racism on subsequent use and experience of health services.

Study design

The proposed study uses a prospective cohort study design. Respondents from the 2016/17 New Zealand Health Survey [ 2 , 18 , 19 ] (NZHS) provide the source of the follow-up cohort sample and the NZHS provides baseline data. The follow-up survey will be conducted between one and two years after respondents completed the NZHS. Using the NZHS data as our sampling frame provides access to exposure status (experience of racism), along with data on a substantial number of covariates (including age, gender, and socioeconomic variables) allowing us to select an appropriate study cohort for answering our research questions. Participant follow-up will be conducted by a multi-modality survey (mail, web and telephone modalities).

This study explores the impact of racism on health in the general NZ adult population (which is the target population of the NZHS that forms the baseline of the study).

Participants

Participants were selected from adult NZHS 2016/17 interviewees ( n  = 13,573, aged 15+ at NZHS interview) who consented to re-contact for future research within a 2 year re-contact window (92% of adult respondents). The NZHS is a complex-sample design survey with an 80% response rate for adults [ 18 ] and oversampling of Māori, Pacific, and Asian populations (who experience higher levels of racism), which facilitates studying the impact of racism on subsequent health status. Participants who had consented to re-contact ( n  = 12,530) also needed to have contact details recorded and sufficient data on exposures/confounders to be included in the sampling frame ( n  = 11,775, 93.9% of consenting adults). All invited participants will be aged at least 16 at the time of follow-up, as at least one year will have passed since participation in the NZHS (where all participants were aged at least 15).

Exposure to racism was determined from the five previously validated NZHS items [ 31 ] asked of all adult respondents (see Table  1 ) about personal experience of racism across five domains (verbal and physical attack; unfair treatment in health, housing, or work). Response options for each question cover recent exposure (within the past 12 months), more historical exposure (> 12 months ago), or no exposure to racism.

Identification of exposed and unexposed individuals

Individuals were classified as exposed to racism if they answered “yes” to any question in Table  1 , in either timeframe (recent or historical: referred to as “ever” exposure). This allows for analysis restricted to the nested subset of individuals reporting recent exposure to racism (past 12 months) and those only reporting more historical exposure (> 12 months ago). The unexposed group comprised all individuals answering “No” to all five domains of experience of racism. We selected all exposed individuals for follow-up, along with a matched sample of unexposed individuals. Individuals missing exposure data were explicitly excluded.

Matching of exposed and unexposed individuals

To address potential confounding, we used propensity score matching methods in our sampling stage to remove the impact of major confounders (as measured in the NZHS) of the causal association between experience of racism and health outcomes. Propensity score methods are increasingly used in observational epidemiology as a robust method for dealing with confounding in the analysis stage [ 32 , 33 , 34 , 35 , 36 ] and have more recently been considered as a useful approach for secondary sampling of participants from existing cohorts for subsequent follow up [ 37 ].

All exposed NZHS respondents will be invited into the follow-up survey. To find matched unexposed individuals, potential participants were stratified based on self-reported ethnicity (Māori, Pacific, Asian, European and Other; using prioritised ethnicity for individuals identifying with more than one grouping) [ 38 ] and then further matched for potential sociodemographic and socioeconomic confounders using propensity score methods [ 39 , 40 ]. Stratification by ethnicity reflects the differential prevalence of racism by ethnic group, and furthermore allows ethnically-stratified estimates of the impact of racism [ 22 ].

Propensity scores were modelled using logistic regression for “ever” exposure to racism based on major confounder variables of the association between racism and poor health (Table  2 ), with modelling stratified by ethnic group. Selection of appropriate confounders was based on past work using cross-sectional analysis of the 2011/12 NZHS (e.g. [ 21 , 22 ]) and the wider literature that informed the conceptual model for the project. Some additional variables were considered for inclusion in the matching process but were removed prior to finalisation (details in Table  2 ).

Within each ethnic group stratum, exposed individuals were matched with unexposed individuals (1:1 matching) based on propensity scores to make these two groups approximately exchangeable (confounders balanced between exposure groups). The matching process [ 41 ] used nearest neighbour matching as implemented in MatchIt [ 42 ] in R 3.4 (R Institute, Vienna, Austria). As the propensity score modelling is blind to participants’ future outcome status, the final propensity score models were refined using just the baseline NZHS data to achieve maximal balance of confounders between exposure groups, without risking bias to the subsequent primary causal analyses [ 39 ]. Balance between groups was then checked on all matching variables prior to finalisation of the sampling lists.

Questionnaire development

Development of the follow-up questionnaire was informed by a literature review and a conceptual model (Figs.  1 and 2 ) of the potential pathways from racism to health outcomes (Fig.  1 ) and health service utilisation (Fig.  2 ) [ 4 , 10 , 16 , 43 , 44 ]. The literature review focussed on longitudinal studies of racism and health among adolescents and adults that included health or health service outcomes. The literature review covered longitudinal studies post-dating the 2015 systematic review by Paradies et al. [ 12 ], using similar search terms for papers between 2013 and 2017 indexed in Medline and PubMed databases, alongside additional studies from systematic reviews [ 12 , 16 ].

Potential pathways between racism and health outcomes. Direct pathway: Main arrow represents the direct biopsychosocial and trauma pathways between experience of racial discrimination (Time 1) and negative health outcomes (Time 2) Indirect pathways: Racial discrimination (Time 1) can impact negatively on health outcomes (Time 2) via healthcare pathways (e.g. less engagement, unmet need). Racial discrimination (Time 1) can impact negatively on physical health outcomes (Time 2) via mental health pathways

Potential pathways between racism and healthcare utilisation outcomes. Main pathway: Main arrow represents the pathway between experience of racial discrimination (Time 1) and negative healthcare measures (Time 2), via negative perceptions and expectations of healthcare (providers, organisations, systems) and future engagement. Secondary pathway: Racial discrimination (T1) can impact negatively on healthcare (Time 2) via negative impacts on health increasing healthcare need

We used several criteria for considering and prioritising variables for the questionnaire. The conceptual model also informed prioritisation of variables for the questionnaire. For outcome measures, these included: alignment with study aims and objectives; existing evidence of a relationship between racism and outcome; New Zealand evidence of ethnic inequities in outcome; previous cross-sectional relationships between racism and outcome in New Zealand data; availability of baseline measures (for health outcomes); plausibility of health effects manifesting within a 1–2 year follow-up period; and data quality (e.g. validated measures, low missing data, questions suitable for multimodal administration). Mediators and confounders were considered for variables not available in the baseline NZHS survey, as was recent experience of racism (following the NZHS interview) to provide additional measurement of exposure to recent racism. A final consideration for prioritising items for inclusion was keeping the length of the questionnaire short in order to maximise response rates (while being able to fully address the study aims). The questionnaire was extensively discussed by the research team and reviewed by the study advisors prior to finalisation.

Table  3 summarises the outcome measures by topic domain and original source (with references). The final questionnaire content can be found in the Additional file  1 , and includes: health outcome measures of mental and physical health (using SF12-v2 and K10 scales); health service measures (unmet need, satisfaction with usual medical centre, experiences with general practitioners); experience of racism in the last 12 months (adapted from items in the NZHS); and variables required to restrict data (e.g. having a usual medical centre, type of centre, having a General Practitioner [GP] visit in the last 12 months) or potential confounder and mediator variables not available at baseline (e.g. number of GP visits).

Recruitment and data collection

Recruitment is currently underway. The sampling phase provided a list of potential participants for invitation, and recruitment for the follow-up survey uses the contact details from the NZHS interview (physical address, mobile/landline telephone, and email address if available). Recruitment will take place over three tranches to (1) manage fieldwork capacity and (2) allow tracking of response rates and adaptation of contact strategies if recruitment is sub-optimal.

To maximise response rates, we chose to use a multi-modal survey [ 45 ]. Participants are invited to respond by a paper questionnaire included with the initial invitation letter (questionnaire returned by pre-paid post), by self-completed online questionnaire, or by computer-assisted telephone interview (CATI, on mobile or landline.) A pen is included in the study invitation to improve initial engagement with the paper-based survey [ 46 ]. Participants completing the survey are offered a NZ$20 gift card to recognise their participation. The contact information contains instructions for opting out of the study.

Those participants not responding online or by post receive a reminder postcard mailed out two weeks after the initial letter, containing a link to the web survey and a note that the participant will be contacted by telephone in two weeks’ time.

Two weeks after the reminder postcard (four weeks post-invitation) remaining non-respondents are contacted using CATI processes. For those with mobile phone numbers or email addresses, a text (SMS) or email reminder is sent two days before the telephone contact phase. Once contact is made by telephone, the interviewer asks the participant to complete the survey over the telephone at that time or organises a subsequent appointment (interview duration approximately 15 min). Interviewers make up to seven telephone contact attempts for each participant, using all recorded telephone numbers. Respondents who decline to complete the full interview at telephone follow-up are asked to consider answering two priority questions (self-rated health and any unmet need for healthcare in the last 12 months: questions 1 and 8 in Table  3 and Additional file 1 ).

Past surveys conducted in NZ have frequently noted lower response rates and hence under-representation of Māori [ 47 , 48 ]. Drawing on Kaupapa Māori research principles, we are explicitly aiming for equitable response rates of Māori to ensure maximum power for ethnically stratified analysis. This involves providing culturally appropriate invitations and interviewers for participants, and actively monitoring response rates by ethnicity during data collection to allow longer and more frequent follow-up of Māori, Pacific and Asian participants if required [ 48 , 49 ]. The use of a multi-modal survey is also expected to minimise recruitment problems inherent to any single modality (e.g. lower phone ownership or internet access in some ethnic groups).

We have contracted an external research company to co-ordinate recruitment and data collection fieldwork under our supervision (covering all contact processes described here), which follows recruitment and data management protocols set by our research team.

Statistical analysis

Propensity score methods for the sampling stage are described above: this section focuses on causal analyses for health outcomes in the achieved sample. The sampling frame selects participants based on “ever” experience of racism, which is our exposure definition.

All analyses will account for both the complex survey sampling frame (weights, strata and clusters from the NZHS) and the secondary sampling phase (selection based on propensity scores). Complex survey data will be handled using software to account for these designs (e.g. survey package [ 50 ] in R); propensity scores will be handled in the main analysis by using inverse probability of treatment weights (IPTW) combined with the sampling weights [ 51 ].

Linear regression methods will be used to compare change in continuous outcome measures (e.g. K10 score) by estimating mean score at follow-up, adjusted for baseline. Analysis of dichotomous categorical outcomes (e.g. self-rated health) will use logistic regression methods, again adjusted for baseline (for health outcomes). We will conduct analyses stratified by ethnic group to explore whether the impact of racism differs by ethnic group. Models will adjust for confounders included in creating the propensity scores (doubly-robust estimation) to address residual confounding not fully covered by the propensity score approach [ 52 ]. Analysis for other outcomes will use similar methods.

As we hypothesise that some outcomes (e.g. self-reported mental distress) will be more strongly influenced by recent experience of racism, we will also examine our main outcomes restricted to those only reporting historical (more than 12 months ago) or recent (last 12 months) racism at baseline. These historical and recent experience groups (and corresponding unexposed individuals) form nested sub-groups of the total cohort, and so analysis will follow the same framework outlined above. Experience of racism in the last 12 months (measured at follow-up) will be examined in cross-sectional analyses and in combination with baseline measures of racism to create a measure to examine the cumulative impact of racism on outcomes.

Sensitivity analyses

While the sampling invitation lists are based on matched samples, we have no control about specific individuals choosing to participate in the follow-up survey, and so the original matching is unlikely to be maintained in the achieved sample. We will conduct sensitivity analyses using re-matched data (based on propensity scores for those participating in follow-up) to allow for re-calibration of exposed and unexposed groups in the achieved sample.

To consider potential for bias due to non-response in our follow-up sample, we will compare NZHS 2016/17 cross-sectional data for responders and non-responders on baseline sociodemographic, socioeconomic, and baseline health variables.

Sample size

Based on NZHS 2011/12 responses, we anticipated a total pool of 2100 potential participants with “ever” experience of racism, with approximately 1100 expected to be Māori/Pacific/Asian ethnicity, and 10,000 with no report of racism (at least 2 unexposed per exposed individual in each ethnic group).

For the main analyses (based on “ever” experience of racism) we assumed a conservative follow-up rate of 40%, giving a final sample size of at least 840 exposed individuals. This response rate includes re-contact and agreement to participate, based on past experience recruiting NZHS participants for other studies and the relative length of the current survey questionnaire.

Initial projections (based on NZHS2011/12 data) indicated sufficient numbers of unexposed individuals for 1:1 matching based on ethnicity and propensity scores. This gives a feasible total sample size of n  = 1680, providing substantial power for the K10 mental health outcome (standard deviation = 6.5: > 95% power to detect difference in change of 2 units of K10 between groups.) For the second main health outcome (change in self-rated health), this sample size will have > 85% power for a difference between 8% of those exposed to racism having worse self-reported health at follow-up (relative to baseline) compared to 5% of unexposed individuals.

For analyses of effects stratified by ethnicity, we expect > 95% power for Māori participants ( n  = 280 each exposed and unexposed) for the K10 outcome (assumptions as above); change in self-rated health will have 80% power for a difference between 12% of exposed individuals having worse self-reported health at follow-up (relative to baseline) compared to 5% of unexposed individuals. Stratified estimates for Pacific and Asian groups will have poorer precision, but should still provide valid comparisons.

Ethical approval and consent to participate

The study involves recruiting participants who have already completed the NZHS interview (including questions on racial discrimination) The NZHS as conducted by the Ministry of Health has its own ethical approval (MEC/10/10/103) and participants are only invited onto the present study if they explicitly consented (at the time of completing the NZHS) to re-contact for future health research. The current study was reviewed and approved by the University of Otago’s Human Ethics (Health) Committee prior to commencement of fieldwork (reference: H17/094). Participants provided informed consent to participate at the time of completing the follow-up survey depending on response modality: implicitly through completion and return of the paper survey which stated “By completing this survey, you indicate that you understand the research and are willing to participate” (see Additional file 1 : a separate written consent document was not required by the ethics committee); in the online survey by responding “yes” to a similarly worded question that they understood the study and agreed to take part (recorded as part of data collection, and participation could not continue unless ticked), or by verbal consent in a similar initial question in the telephone interview (since written consent could not be collected in this setting). These consent methods were approved by the reviewing Ethics committee [ 53 ]. Ethical approval for the study included using the same consent processes for those participants aged 16 to 18 as for older participants.

This study will contribute robust evidence to the limited national and international literature from prospective studies on the causal links between experience of racism and subsequent health. The use of the NZHS as the baseline for the prospective study capitalises on the inclusion of racism questions in that survey to provide a unique and important opportunity to build on and substantially strengthen the current evidence base for the impact of racism on health using data spanning the entire New Zealand adult population. In addition, our use of propensity scores in the sampling phase is a novel approach to prospective recruitment of participants from the NZHS. This approach should manage confounding while reducing the need (and cost) of following up all NZHS participants, without compromising the internal validity of the results. The novel methods developed for using the NZHS as the base for a prospective cohort study will have wider application to other health priority areas. One general limitation of this approach is that baseline data (for both propensity score development and baseline health measures) is limited to the data captured in the existing larger survey. We anticipate that this study will assist in prioritising racism as a health determinant and inform the development of anti-racism interventions in health service delivery and policy making.

Current stage of research

Funding for this project began October 1st 2017. The first set of respondent invitations was mailed out on July 12th 2018; fieldwork for the final tranche of invitations was underway at the time of submission and is expected to be completed by 31 December 2018. Analysis and reporting will take place in mid-to-late 2019.

Abbreviations

Computer Assisted Telephone Interview

General Practitioner

General Social Survey

Index of Multiple Deprivation

Inverse Probability of Treatment Weights

• New Zealand

New Zealand Deprivation Index

New Zealand Health Survey

12/36-Item Short Form Survey

short message service

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Acknowledgements

We would like to acknowledge the assistance of the Ministry of Health’s New Zealand Health Survey Team for facilitating access to the NZHS data and respondent lists, and for help with constructing the questionnaire (including providing the Helpline contact template).

We would also like to acknowledge the expertise and input of our project advisory team: Natalie Talamaivao (Senior Advisor, Māori Health Research, Ministry of Health), Associate Professor Bridget Robson (Director, Eru Pōmare Māori Health Research Centre, University of Otago, Wellington), and Dr. Sarah-Jane Paine (Senior Research Fellow, University of Auckland and University of Otago, Wellington). Thanks also to Ms. Ruruhira Rameka (Eru Pōmare Māori Health Research Centre, University of Otago, Wellington) for providing administrative support. Research New Zealand was contracted to undertake the data collection and other fieldwork for the follow-up survey.

This project was funded by the Health Research Council of New Zealand (HRC 17–066). The funding body approved the study but has no further role in the study design or outputs from the study.

Availability of data and materials

Data from the follow-up study is not available to other researchers as participants did not provide their consent for data sharing. The NZHS 2016/17 data used as the baseline for the study described in this protocol is available to approved researchers subject to the New Zealand Ministry of Health’s Survey Microdata Access agreement https://www.health.govt.nz/nz-health-statistics/national-collections-and-surveys/surveys/access-survey-microdata .

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JS and RH initiated the project and are co-principal investigators of the study, and jointly led writing of the grant application and this protocol paper. JS designed the sampling plan, led the development of the contact protocol, led the development of the statistical analysis plan, contributed to revising the questionnaire, and is guarantor of the paper. RH designed the questionnaire, contributed to development of the sampling and contact protocol, and co-led the statistical analysis plan. DC led the conceptual plan with support from RH. AW and RE contributed to the contact protocol. DC, AW and RE all contributed to writing the grant application, revising the questionnaire and sampling plans, and revising the draft protocol paper. All authors read and approved the final version of the manuscript.

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Correspondence to James Stanley .

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Ethics approval and consent to participate.

The follow-up study protocol and questionnaire were approved by the University of Otago’s Human Ethics (Health) Committee prior to commencement of fieldwork (reference: H17/094). The NZHS has its own ethical approval as granted to the New Zealand Ministry of Health (NZ Multi-Region Ethics Committee, MEC/10/10/103), and consent for re-contact was gained from participants at the time of their NZHS interview. Participants provided informed consented to participate at the time of completing the follow-up survey: implicitly through completion and return of the paper survey which stated “By completing this survey, you indicate that you understand the research and are willing to participate”; in the online survey by responding “yes” to a similarly worded question that they understood the study and agreed to take part, or by verbal consent in a similar initial question in the telephone interview.

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JS, RH, DC, AW, and RE report funding from the Health Research Council of New Zealand to complete this work. JS and RH report personal fees from the Health Research Council of New Zealand for service as external members on committees (neither are employees of the HRC), outside the scope of the current work.

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Stanley, J., Harris, R., Cormack, D. et al. The impact of racism on the future health of adults: protocol for a prospective cohort study. BMC Public Health 19 , 346 (2019). https://doi.org/10.1186/s12889-019-6664-x

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Racism, bias, and discrimination

Racism is a form of prejudice that generally includes negative emotional reactions to members of a group, acceptance of negative stereotypes, and racial discrimination against individuals; in some cases it can lead to violence.

Discrimination refers to the differential treatment of different age, gender, racial, ethnic, religious, national, ability identity, sexual orientation, socioeconomic, and other groups at the individual level and the institutional/structural level. Discrimination is usually the behavioral manifestation of prejudice and involves negative, hostile, and injurious treatment of members of rejected groups.

Adapted from the APA Dictionary of Psychology

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Fighting racism in research

Gil goldzweig.

1 Academic College of Tel-Aviv-Yaffo, Tel-Aviv-Yaffo, Israel

Allison Applebaum

2 Memorial Sloan Kettering Cancer Center, New York, NY

Gian Domenico Borasio

3 Department of Palliative Medicine, University of Lausanne, Lausanne, Switzerland

4 Samsung Medical Center-Sungyunkwan University, Seoul, Korea

Harvey Max Chochinov

5 Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada

Mayumi Ishida

6 Department of Psychiatry, Saitama Medical University, Saitama, Japan

Matthew Loscalzo

7 City of Hope Medical Center, Duarte, CA

William Breitbart

Much has been written about gender, racial and other inequalities, biases, and discrimination, in research in general, especially in psychological research ( Roberts et al., 2020 ; Dupree and Boykin, 2021 ; Gruber et al., 2021 ). Recent events such as the murder of George Floyd in the United States and racism toward people of Asian descent, including blaming them for the COVID-19 pandemic, have led to calls for anti-racist action in the scientific community ( Wagner et al., 2020 ; Galán et al., 2021 ). Most of these calls for action were related to equal rights and anti-discrimination acts. Such issues have also become the focus of studies in palliative care, where research on inequality has led to recommendations for policy makers on improving equality in palliative care ( Matsuyama et al., 2011 ; Brown et al., 2016 ; Artiga et al., 2020 ). This includes several recent papers published in our journal Palliative and Supportive Care ( Shen et al., 2020 ; Teresi et al., 2020 ).

This editorial was inspired by the reaction to a paper that recently appeared in Palliative and Supportive Care on the utility of an algorithm/nomogram developed to identify cancer pain patients at risk for opioid misuse ( Yennurajalingam et al., 2021 ; also see the Letters to the Editor in this issue). Central to the concerns raised is the use of race/color as a risk factor in this algorithm. What ensued was a discussion of the necessity to closely examine the potential unintended negative consequences of including race as a risk factor, and the necessity to fully discuss the context and the interpretation of results from such a study on risk factors (which include race/color) that influence the prediction of non-medical opioid use in patients diagnosed with cancer. This study offers an opportunity to discuss issues of vast importance that may have been neglected to date, including data interpretation and racism in medical research. We use the word “opportunity” because an open debate is an important scientific and academic principle that may help promote anti-racist actions.

Responsibilities of Journal Editors, Reviewers, Researchers and Readers to be Anti-Racist

We, the editors of Palliative and Supportive Care, believe that there is a need to act. Action means being “anti-racist” and not simply “not racist.” Without such action and actively debated conclusions, ideas, and data interpretation, research may advertently or inadvertently be used for racist purposes. While these ideas may be clear in some areas, such as equal rights for palliative care, they can be more elusive in other areas, such as data interpretation.

We must identify core values that practitioners, researchers, journal editors, reviewers, and readers share. Values such as “first, do no harm” (“primum non nocere”), commitment to the well-being of the patient, and commitment to ethically conducted research are widely accepted in our field. Many research and clinical guidelines can be viewed as derivatives of these principles. For example, the reliance on assessment tools that are not appropriate for a particular population of study, or question of interest, has the potential to undermine an otherwise sound methodology and data analysis approach. Additionally, different data analysis methodologies may lead to different results and conclusions and a debate concerning the right way to analyze the data. Moreover, we are seeing increasingly complicated data analysis approaches that rely on big data and artificial intelligence, and the use of computerized algorithms to help us to identify risk factors and support clinical decision-making. However, such approaches also lead to questions, such as: Should we blindly follow the conclusion of such methods? Should we blindly follow the results of any research? Our call for action is a call for skepticism and critical thinking. Research results and algorithms may give us guidelines, but we must actively apply critical thinking, and confront dilemmas such as: Should we exclude any data or results from publication if we feel uncomfortable about it? Should we conceal results that we suspect might have negative consequences for minority or vulnerable patients? We pose these questions because debate and conversation are the essence of good clinical research practice.

Researchers should actively seek open discussion and debate of their results. There are valid arguments supporting the idea that “making sense” of quantitative data is not “objective” but has to do with interpretation just as with any other process of interpretation ( Kritzer, 1996 ; Coryn, 2007 ; Lakew, 2017 ). It is common to include associations between socio-demographic variables such as gender, race, education, marital status and outcome variables in research analyses. However, the socio-demographic factors that traditionally have been used as a basis for discrimination, may be dangerous because differences in outcome variables may be a direct result of discrimination, and in turn may perpetuate a vicious cycle of racism. For example, if blacks are discriminated against on the basis of race and receive less education than whites, then a researcher can identify gaps in general knowledge and describe it as a race-based outcome without contextualizing the result with discrimination/racism as the potential cause of that finding in the first place. Thus, what should we do if our findings show that being black is a risk factor for use of non-medical opioid use in patients diagnosed with cancer? Should we ignore this finding fearing that it is likely to promote race-based disparities in opioid use for pain? Or should we use these findings to improve care for blacks and other patients of color?

We believe that medical research journal editors, reviewers, researchers, clinicians, and journal readers must confront the issue of perpetuating racism in medical research. We must face it and discuss it. Such a discussion can follow these steps or actions: The first action should be taken by editors, reviewers, and researchers to identify such potentially racist methodologies and findings and explore the multilayered ecology of the data; debate this openly and honestly understanding that race is a social variable and should be identified as such. The second action is for our readers to be vigilant about racist content in published research and call it out. The third action is for researchers and editors to begin using the results of this debate to counter the potential that inclusion of race/color as risk factor may be more likely to promote race-based disparities in pain care. Our challenge is to find a way to use race/ color as a variable in medical research that can potentially be the basis for the promotion of better medical care and greater awareness of implicit bias. More than that, further research into race and genetic factors may help to eventually disprove the idea that race is “just genetics.”

We, the editors of Palliative and Supportive Care, are committed to excellence in research, cautious data interpretation, and integrity in interpretation. We are committed to the good of our patients and society, while using honesty, transparency, and open communication. Racism counters all these core values. An anti-racist posture, open discussion, skepticism, and debate promote these values. We are committed to a heightened sensitivity of potential racism in the research submitted, reviewed, and ultimately published in Palliative and Supportive Care.

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• Teresi JA, Ocepek-Welikson K, Ramirez M, et al. (2020) Evaluation of measurement equivalence of the family satisfaction with the end-of-life care (FAMCARE): Tests of differential item functioning between hispanic and non-hispanic white caregivers . Palliative and Supportive Care 18 ( 5 ), 544–556. doi: 10.1017/S1478951520000152 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
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• Yennurajalingam S, Edwards T, Arthur J, et al. (2021) The development of a nomogram to determine the frequency of elevated risk for non-medical opioid use in cancer patients . Palliative and Supportive Care 19 ( 1 ), 3–10. doi: 10.1017/s1478951520000322 [ PubMed ] [ CrossRef ] [ Google Scholar ]

Numbers, Facts and Trends Shaping Your World

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• Black Americans Have a Clear Vision for Reducing Racism but Little Hope It Will Happen

Many say key U.S. institutions should be rebuilt to ensure fair treatment

Table of contents.

• Black Americans see little improvement in their lives despite increased national attention to racial issues
• Few Black adults expect equality for Black people in the U.S.
• Black adults say racism and police brutality are extremely big problems for Black people in the U.S.
• Personal experiences with discrimination are widespread among Black Americans
• 2. Black Americans’ views on political strategies, leadership and allyship for achieving equality
• The legacy of slavery affects Black Americans today
• Most Black adults agree the descendants of enslaved people should be repaid
• The types of repayment Black adults think would be most helpful
• Responsibility for reparations and the likelihood repayment will occur
• Black adults say the criminal justice system needs to be completely rebuilt
• Black adults say political, economic and health care systems need major changes to ensure fair treatment
• Most Black adults say funding for police departments should stay the same or increase
• Acknowledgments
• Appendix: Supplemental tables
• The American Trends Panel survey methodology

Pew Research Center conducted this analysis to understand the nuances among Black people on issues of racial inequality and social change in the United States. This in-depth survey explores differences among Black Americans in their views on the social status of the Black population in the U.S.; their assessments of racial inequality; their visions for institutional and social change; and their outlook on the chances that these improvements will be made. The analysis is the latest in the Center’s series of in-depth surveys of public opinion among Black Americans (read the first, “ Faith Among Black Americans ” and “ Race Is Central to Identity for Black Americans and Affects How They Connect With Each Other ”).

The online survey of 3,912 Black U.S. adults was conducted Oct. 4-17, 2021. Black U.S. adults include those who are single-race, non-Hispanic Black Americans; multiracial non-Hispanic Black Americans; and adults who indicate they are Black and Hispanic. The survey includes 1,025 Black adults on Pew Research Center’s American Trends Panel (ATP) and 2,887 Black adults on Ipsos’ KnowledgePanel. Respondents on both panels are recruited through national, random sampling of residential addresses.

Recruiting panelists by phone or mail ensures that nearly all U.S. Black adults have a chance of selection. This gives us confidence that any sample can represent the whole population (see our Methods 101 explainer on random sampling). Here are the questions used for the survey of Black adults, along with its responses and methodology .

The terms “Black Americans,” “Black people” and “Black adults” are used interchangeably throughout this report to refer to U.S. adults who self-identify as Black, either alone or in combination with other races or Hispanic identity.

Throughout this report, “Black, non-Hispanic” respondents are those who identify as single-race Black and say they have no Hispanic background. “Black Hispanic” respondents are those who identify as Black and say they have Hispanic background. We use the terms “Black Hispanic” and “Hispanic Black” interchangeably. “Multiracial” respondents are those who indicate two or more racial backgrounds (one of which is Black) and say they are not Hispanic.

Respondents were asked a question about how important being Black was to how they think about themselves. In this report, we use the term “being Black” when referencing responses to this question.

In this report, “immigrant” refers to people who were not U.S. citizens at birth – in other words, those born outside the U.S., Puerto Rico or other U.S. territories to parents who were not U.S. citizens. We use the terms “immigrant,” “born abroad” and “foreign-born” interchangeably.

Throughout this report, “Democrats and Democratic leaners” and just “Democrats” both refer to respondents who identify politically with the Democratic Party or who are independent or some other party but lean toward the Democratic Party. “Republicans and Republican leaners” and just “Republicans” both refer to respondents who identify politically with the Republican Party or are independent or some other party but lean toward the Republican Party.

Respondents were asked a question about their voter registration status. In this report, respondents are considered registered to vote if they self-report being absolutely certain they are registered at their current address. Respondents are considered not registered to vote if they report not being registered or express uncertainty about their registration.

To create the upper-, middle- and lower-income tiers, respondents’ 2020 family incomes were adjusted for differences in purchasing power by geographic region and household size. Respondents were then placed into income tiers: “Middle income” is defined as two-thirds to double the median annual income for the entire survey sample. “Lower income” falls below that range, and “upper income” lies above it. For more information about how the income tiers were created, read the methodology .

More than a year after the murder of George Floyd and the national protests, debate and political promises that ensued, 65% of Black Americans say the increased national attention on racial inequality has not led to changes that improved their lives. 1 And 44% say equality for Black people in the United States is not likely to be achieved, according to newly released findings from an October 2021 survey of Black Americans by Pew Research Center.

This is somewhat of a reversal in views from September 2020, when half of Black adults said the increased national focus on issues of race would lead to major policy changes to address racial inequality in the country and 56% expected changes that would make their lives better.

At the same time, many Black Americans are concerned about racial discrimination and its impact. Roughly eight-in-ten say they have personally experienced discrimination because of their race or ethnicity (79%), and most also say discrimination is the main reason many Black people cannot get ahead (68%).  

Even so, Black Americans have a clear vision for how to achieve change when it comes to racial inequality. This includes support for significant reforms to or complete overhauls of several U.S. institutions to ensure fair treatment, particularly the criminal justice system; political engagement, primarily in the form of voting; support for Black businesses to advance Black communities; and reparations in the forms of educational, business and homeownership assistance. Yet alongside their assessments of inequality and ideas about progress exists pessimism about whether U.S. society and its institutions will change in ways that would reduce racism.

These findings emerge from an extensive Pew Research Center survey of 3,912 Black Americans conducted online Oct. 4-17, 2021. The survey explores how Black Americans assess their position in U.S. society and their ideas about social change. Overall, Black Americans are clear on what they think the problems are facing the country and how to remedy them. However, they are skeptical that meaningful changes will take place in their lifetime.

Black Americans see racism in our laws as a big problem and discrimination as a roadblock to progress

Black adults were asked in the survey to assess the current nature of racism in the United States and whether structural or individual sources of this racism are a bigger problem for Black people. About half of Black adults (52%) say racism in our laws is a bigger problem than racism by individual people, while four-in-ten (43%) say acts of racism committed by individual people is the bigger problem. Only 3% of Black adults say that Black people do not experience discrimination in the U.S. today.

In assessing the magnitude of problems that they face, the majority of Black Americans say racism (63%), police brutality (60%) and economic inequality (54%) are extremely or very big problems for Black people living in the U.S. Slightly smaller shares say the same about the affordability of health care (47%), limitations on voting (46%), and the quality of K-12 schools (40%).

Aside from their critiques of U.S. institutions, Black adults also feel the impact of racial inequality personally. Most Black adults say they occasionally or frequently experience unfair treatment because of their race or ethnicity (79%), and two-thirds (68%) cite racial discrimination as the main reason many Black people cannot get ahead today.

Black Americans’ views on reducing racial inequality

Black Americans are clear on the challenges they face because of racism. They are also clear on the solutions. These range from overhauls of policing practices and the criminal justice system to civic engagement and reparations to descendants of people enslaved in the United States.

Changing U.S. institutions such as policing, courts and prison systems

About nine-in-ten Black adults say multiple aspects of the criminal justice system need some kind of change (minor, major or a complete overhaul) to ensure fair treatment, with nearly all saying so about policing (95%), the courts and judicial process (95%), and the prison system (94%).

Roughly half of Black adults say policing (49%), the courts and judicial process (48%), and the prison system (54%) need to be completely rebuilt for Black people to be treated fairly. Smaller shares say the same about the political system (42%), the economic system (37%) and the health care system (34%), according to the October survey.

While Black Americans are in favor of significant changes to policing, most want spending on police departments in their communities to stay the same (39%) or increase (35%). A little more than one-in-five (23%) think spending on police departments in their area should be decreased.

Black adults who favor decreases in police spending are most likely to name medical, mental health and social services (40%) as the top priority for those reappropriated funds. Smaller shares say K-12 schools (25%), roads, water systems and other infrastructure (12%), and reducing taxes (13%) should be the top priority.

Voting and ‘buying Black’ viewed as important strategies for Black community advancement

Black Americans also have clear views on the types of political and civic engagement they believe will move Black communities forward. About six-in-ten Black adults say voting (63%) and supporting Black businesses or “buying Black” (58%) are extremely or very effective strategies for moving Black people toward equality in the U.S. Smaller though still significant shares say the same about volunteering with organizations dedicated to Black equality (48%), protesting (42%) and contacting elected officials (40%).

Black adults were also asked about the effectiveness of Black economic and political independence in moving them toward equality. About four-in-ten (39%) say Black ownership of all businesses in Black neighborhoods would be an extremely or very effective strategy for moving toward racial equality, while roughly three-in-ten (31%) say the same about establishing a national Black political party. And about a quarter of Black adults (27%) say having Black neighborhoods governed entirely by Black elected officials would be extremely or very effective in moving Black people toward equality.

Most Black Americans support repayment for slavery

Discussions about atonement for slavery predate the founding of the United States. As early as 1672 , Quaker abolitionists advocated for enslaved people to be paid for their labor once they were free. And in recent years, some U.S. cities and institutions have implemented reparations policies to do just that.

Most Black Americans say the legacy of slavery affects the position of Black people in the U.S. either a great deal (55%) or a fair amount (30%), according to the survey. And roughly three-quarters (77%) say descendants of people enslaved in the U.S. should be repaid in some way.

Black adults who say descendants of the enslaved should be repaid support doing so in different ways. About eight-in-ten say repayment in the forms of educational scholarships (80%), financial assistance for starting or improving a business (77%), and financial assistance for buying or remodeling a home (76%) would be extremely or very helpful. A slightly smaller share (69%) say cash payments would be extremely or very helpful forms of repayment for the descendants of enslaved people.

Where the responsibility for repayment lies is also clear for Black Americans. Among those who say the descendants of enslaved people should be repaid, 81% say the U.S. federal government should have all or most of the responsibility for repayment. About three-quarters (76%) say businesses and banks that profited from slavery should bear all or most of the responsibility for repayment. And roughly six-in-ten say the same about colleges and universities that benefited from slavery (63%) and descendants of families who engaged in the slave trade (60%).

Black Americans are skeptical change will happen

Even though Black Americans’ visions for social change are clear, very few expect them to be implemented. Overall, 44% of Black adults say equality for Black people in the U.S. is a little or not at all likely. A little over a third (38%) say it is somewhat likely and only 13% say it is extremely or very likely.

They also do not think specific institutions will change. Two-thirds of Black adults say changes to the prison system (67%) and the courts and judicial process (65%) that would ensure fair treatment for Black people are a little or not at all likely in their lifetime. About six-in-ten (58%) say the same about policing. Only about one-in-ten say changes to policing (13%), the courts and judicial process (12%), and the prison system (11%) are extremely or very likely.

This pessimism is not only about the criminal justice system. The majority of Black adults say the political (63%), economic (62%) and health care (51%) systems are also unlikely to change in their lifetime.

Black Americans’ vision for social change includes reparations. However, much like their pessimism about institutional change, very few think they will see reparations in their lifetime. Among Black adults who say the descendants of people enslaved in the U.S. should be repaid, 82% say reparations for slavery are unlikely to occur in their lifetime. About one-in-ten (11%) say repayment is somewhat likely, while only 7% say repayment is extremely or very likely to happen in their lifetime.

Black Democrats, Republicans differ on assessments of inequality and visions for social change

Party affiliation is one key point of difference among Black Americans in their assessments of racial inequality and their visions for social change. Black Republicans and Republican leaners are more likely than Black Democrats and Democratic leaners to focus on the acts of individuals. For example, when summarizing the nature of racism against Black people in the U.S., the majority of Black Republicans (59%) say racist acts committed by individual people is a bigger problem for Black people than racism in our laws. Black Democrats (41%) are less likely to hold this view.

Black Republicans (45%) are also more likely than Black Democrats (21%) to say that Black people who cannot get ahead in the U.S. are mostly responsible for their own condition. And while similar shares of Black Republicans (79%) and Democrats (80%) say they experience racial discrimination on a regular basis, Republicans (64%) are more likely than Democrats (36%) to say that most Black people who want to get ahead can make it if they are willing to work hard.

On the other hand, Black Democrats are more likely than Black Republicans to focus on the impact that racial inequality has on Black Americans. Seven-in-ten Black Democrats (73%) say racial discrimination is the main reason many Black people cannot get ahead in the U.S, while about four-in-ten Black Republicans (44%) say the same. And Black Democrats are more likely than Black Republicans to say racism (67% vs. 46%) and police brutality (65% vs. 44%) are extremely big problems for Black people today.

Black Democrats are also more critical of U.S. institutions than Black Republicans are. For example, Black Democrats are more likely than Black Republicans to say the prison system (57% vs. 35%), policing (52% vs. 29%) and the courts and judicial process (50% vs. 35%) should be completely rebuilt for Black people to be treated fairly.

While the share of Black Democrats who want to see large-scale changes to the criminal justice system exceeds that of Black Republicans, they share similar views on police funding. Four-in-ten each of Black Democrats and Black Republicans say funding for police departments in their communities should remain the same, while around a third of each partisan coalition (36% and 37%, respectively) says funding should increase. Only about one-in-four Black Democrats (24%) and one-in-five Black Republicans (21%) say funding for police departments in their communities should decrease.

Among the survey’s other findings:

Black adults differ by age in their views on political strategies. Black adults ages 65 and older (77%) are most likely to say voting is an extremely or very effective strategy for moving Black people toward equality. They are significantly more likely than Black adults ages 18 to 29 (48%) and 30 to 49 (60%) to say this. Black adults 65 and older (48%) are also more likely than those ages 30 to 49 (38%) and 50 to 64 (42%) to say protesting is an extremely or very effective strategy. Roughly four-in-ten Black adults ages 18 to 29 say this (44%).

Gender plays a role in how Black adults view policing. Though majorities of Black women (65%) and men (56%) say police brutality is an extremely big problem for Black people living in the U.S. today, Black women are more likely than Black men to hold this view. When it comes to criminal justice, Black women (56%) and men (51%) are about equally likely to share the view that the prison system should be completely rebuilt to ensure fair treatment of Black people. However, Black women (52%) are slightly more likely than Black men (45%) to say this about policing. On the matter of police funding, Black women (39%) are slightly more likely than Black men (31%) to say police funding in their communities should be increased. On the other hand, Black men are more likely than Black women to prefer that funding stay the same (44% vs. 36%). Smaller shares of both Black men (23%) and women (22%) would like to see police funding decreased.

Income impacts Black adults’ views on reparations. Roughly eight-in-ten Black adults with lower (78%), middle (77%) and upper incomes (79%) say the descendants of people enslaved in the U.S. should receive reparations. Among those who support reparations, Black adults with upper and middle incomes (both 84%) are more likely than those with lower incomes (75%) to say educational scholarships would be an extremely or very helpful form of repayment. However, of those who support reparations, Black adults with lower (72%) and middle incomes (68%) are more likely than those with higher incomes (57%) to say cash payments would be an extremely or very helpful form of repayment for slavery.

• Black adults in the September 2020 survey only include those who say their race is Black alone and are non-Hispanic. The same is true only for the questions of improvements to Black people’s lives and equality in the United States in the October 2021 survey. Throughout the rest of this report, Black adults include those who say their race is Black alone and non-Hispanic; those who say their race is Black and at least one other race and non-Hispanic; or Black and Hispanic, unless otherwise noted. ↩

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What is racism?

What are some of the societal aspects of racism, what are some of the measures taken to combat racism.

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Racism is the belief that humans can be divided into separate and exclusive biological entities called “races”; that there is a causal link between inherited physical traits and traits of personality, intellect, morality, and other cultural and behavioral features; and that some races are innately superior to others. Racism was at the heart of North American slavery and the colonization and empire-building activities of western Europeans, especially in the 18th century. Since the late 20th century the notion of biological race has been recognized as a cultural invention, entirely without scientific basis. Most human societies have concluded that racism is wrong, and social trends have moved away from racism.

Historically, the practice of racism held that members of low-status “races” should be limited to low-status jobs or enslavement and be excluded from access to political power, economic resources, and unrestricted civil rights. The lived experience of racism for members of low-status races includes acts of physical violence, daily insults, and frequent acts and verbal expressions of contempt and disrespect.

Racism elicits hatred and distrust and precludes any attempt to understand its victims. Many societies attempt to combat racism by raising awareness of racist beliefs and practices and by promoting human understanding in public policies. The Universal Declaration of Human Rights , adopted by the United Nations in 1948, is an example of one measure taken to combat racism. In the United States, the civil rights movement ’s fight against racism gained national prominence during the 1950s and has had lasting positive effects.

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racism , the belief that humans may be divided into separate and exclusive biological entities called “races”; that there is a causal link between inherited physical traits and traits of personality, intellect, morality , and other cultural and behavioral features; and that some races are innately superior to others. The term is also applied to political, economic, or legal institutions and systems that engage in or perpetuate discrimination on the basis of race or otherwise reinforce racial inequalities in wealth and income, education , health care, civil rights, and other areas. Such institutional, structural, or systemic racism became a particular focus of scholarly investigation in the 1980s with the emergence of critical race theory , an offshoot of the critical legal studies movement. Since the late 20th century the notion of biological race has been recognized as a cultural invention, entirely without scientific basis.

Following Germany’s defeat in World War I , that country’s deeply ingrained anti-Semitism was successfully exploited by the Nazi Party , which seized power in 1933 and implemented policies of systematic discrimination, persecution, and eventual mass murder of Jews in Germany and in the territories occupied by the country during World War II ( see Holocaust ).

In North America and apartheid -era South Africa , racism dictated that different races (chiefly blacks and whites) should be segregated from one another; that they should have their own distinct communities and develop their own institutions such as churches, schools, and hospitals; and that it was unnatural for members of different races to marry .

Historically, those who openly professed or practiced racism held that members of low-status races should be limited to low-status jobs and that members of the dominant race should have exclusive access to political power, economic resources, high-status jobs, and unrestricted civil rights . The lived experience of racism for members of low-status races includes acts of physical violence , daily insults, and frequent acts and verbal expressions of contempt and disrespect, all of which have profound effects on self-esteem and social relationships.

Racism was at the heart of North American slavery and the colonization and empire-building activities of western Europeans, especially in the 18th century. The idea of race was invented to magnify the differences between people of European origin and those of African descent whose ancestors had been involuntarily enslaved and transported to the Americas. By characterizing Africans and their African American descendants as lesser human beings, the proponents of slavery attempted to justify and maintain the system of exploitation while portraying the United States as a bastion and champion of human freedom, with human rights , democratic institutions, unlimited opportunities, and equality. The contradiction between slavery and the ideology of human equality, accompanying a philosophy of human freedom and dignity, seemed to demand the dehumanization of those enslaved.

By the 19th century, racism had matured and spread around the world. In many countries, leaders began to think of the ethnic components of their own societies, usually religious or language groups, in racial terms and to designate “higher” and “lower” races. Those seen as the low-status races, especially in colonized areas, were exploited for their labour, and discrimination against them became a common pattern in many areas of the world. The expressions and feelings of racial superiority that accompanied colonialism generated resentment and hostility from those who were colonized and exploited, feelings that continued even after independence.

Since the mid-20th century many conflicts around the world have been interpreted in racial terms even though their origins were in the ethnic hostilities that have long characterized many human societies (e.g., Arabs and Jews, English and Irish). Racism reflects an acceptance of the deepest forms and degrees of divisiveness and carries the implication that differences between groups are so great that they cannot be transcended .

Racism elicits hatred and distrust and precludes any attempt to understand its victims. For that reason, most human societies have concluded that racism is wrong, at least in principle, and social trends have moved away from racism. Many societies have begun to combat racism by raising awareness of racist beliefs and practices and by promoting human understanding in public policies, as does the Universal Declaration of Human Rights , set forth by the United Nations in 1948.

In the United States, racism came under increasing attack during the civil rights movement of the 1950s and ’60s, and laws and social policies that enforced racial segregation and permitted racial discrimination against African Americans were gradually eliminated. Laws aimed at limiting the voting power of racial minorities were invalidated by the Twenty-fourth Amendment (1964) to the U.S. Constitution , which prohibited poll taxes , and by the federal Voting Rights Act (1965), which required jurisdictions with a history of voter suppression to obtain federal approval (“preclearance”) of any proposed changes to their voting laws (the preclearance requirement was effectively removed by the U.S. Supreme Court in 2013 [ see Shelby County v. Holder ]). By 2020 nearly three-quarters of the states had adopted varying forms of voter ID law , by which would-be voters were required or requested to present certain forms of identification before casting a ballot. Critics of the laws, some of which were successfully challenged in the courts, contended that they effectively suppressed voting among African Americans and other demographic groups. Other measures that tended to limit voting by African Americans were unconstitutional racial gerrymanders , partisan gerrymanders aimed at limiting the number of Democratic representatives in state legislatures and Congress, the closing of polling stations in African American or Democratic-leaning neighbourhoods, restrictions on the use of mail-in and absentee ballots, limits on early voting, and purges of voter rolls.

Despite constitutional and legal measures aimed at protecting the rights of racial minorities in the United States, the private beliefs and practices of many Americans remained racist, and some group of assumed lower status was often made a scapegoat. That tendency has persisted well into the 21st century.

Because, in the popular mind, “race” is linked to physical differences among peoples, and such features as dark skin colour have been seen as markers of low status, some experts believe that racism may be difficult to eradicate . Indeed, minds cannot be changed by laws, but beliefs about human differences can and do change, as do all cultural elements.

398 Racism Essay Titles & Writing Examples

• 🔖 Secrets of Powerful Racism Essay

🏆 Best Racism Topic Ideas & Essay Examples

🥇 most interesting racism topics to write about, 🎓 simple & easy racism essay titles, ⚡ shocking essay topics on racism, 👍 good essay topics on racism, 💡 interesting essay titles about racism, ❓ racism questions for essay.

Looking for powerful racism essay topics? You will find them here! This list contains a great variety of titles for racism-themed papers. We’ve also included useful tips and plenty of racism essay examples to help you write an outstanding paper.

🔖 Secrets of a Powerful Racism Essay

Writing an essay on racism may seem easy at first. However, because racism is such a popular subject in social sciences, politics, and history, your piece needs to be truly powerful to receive a high mark. Here are the best tips to help make your racism essay stand out:

• Consider the historical causes of racism. Papers on racism often focus on discrimination and equality in modern society. Digging a bit deeper and highlighting the origins of racism will make your essay more impressive. Check academic resources on the subject to see how racism was connected to the slave trade, politics, and social development in Europe. Explore these ideas in your paper to make it more compelling!
• Show critical thinking. Racism essay titles often focus on the effects of racism on the population. To make your essay more powerful, you will need to discuss the things that are often left out. Think about why racial discrimination is still prevalent in modern society and who benefits from racist policies. This will show your tutor that you understand the topic in great depth.
• Look for examples of racism in art. One of the reasons as to why racism spread so quickly is because artists and authors supported the narratives of race. If you explore paintings by European artists created in 17-18 centuries, you will find that they often highlighted the differences between black and white people to make the former seem less human. In various literary works, such as Conrad’s Heart of Darkness and Shakespeare’s Othello, racism plays a vital role. In contrast, more recent works of art consider racism from a critical viewpoint. Examining how racism is reflected in the art will help you to earn an excellent mark for your analysis of the subject.
• Discuss the influences of racism. Of course, one of the key racism essay topics is the impact of racism on black populations in various countries. It is true that discrimination plays an essential role in the lives of black people, and reflecting this in your paper will help you to make it influential. You can discuss various themes here, from police brutality to healthcare access. Support your claims with high-quality data from official sources. If appropriate, you can also show how racism affected your life or the lives of your friends and loved ones.
• Show the correlation between racism and other social issues. Racism is connected to many different types of discrimination, including sexism and homophobia. This allows you to expand your paper by showing these links and explaining them. For instance, you could write an essay on racism and xenophobia, or find other topics that interest you.

Finally, structure your essay well. Write an outline first to determine the sequence of key points. You can check out a racism essay example on this website to see how other people structure their work.

Racism Thesis Statement, Main Body, & Conclusion

A typical essay should have an introduction, the main body, and a conclusion. Each paragraph of the main body should start with a topic sentence. Here’s what a topic sentence for racism-themed essay can look like:

Racism continues to be a pervasive issue in society, with deep-rooted prejudices and discrimination that impact individuals and communities across the globe.

Don’t forget to include a racism essay thesis statement at the end of your introduction to identify the focus of the paper! Check out these racism thesis statements for inspiration:

Racism is pervasive social problem that manifests in various forms, perpetuating systemic inequalities and marginalizing minority groups. Through an examination of racism’s history and its psychological impact on individuals, it becomes evident that this pressing issue demands collective action for meaningful change.

In your essay’s conclusion, you can simply paraphrase the thesis and add a couple of additional remarks.

These guidelines will help you to ensure that your work is truly outstanding and deserving of a great mark! Be sure to visit our website for more racism example essays, topics, and other useful materials.

These points will help you to ensure that your work on racism is truly influential and receives a great mark! Be sure to visit our website for example papers, essay titles, and other useful materials.

• Racism in the “Dutchman” by Amiri Baraka Generally, one is to keep in mind that Baraka is recognized to be one of the most important representatives of the black community, and the theme of racism in The Dutchman has, therefore, some historical […]
• Racism in “The Adventures of Huckleberry Finn” by Mark Twain The character of Pap is used to advance the theme of racism in the book. In the closing chapters of the book, Huck and Tom come to the realization that Jim is not property but […]
• The Problem of Racism in Brazilian Football Skidmore describes it as the relationships that could result into conflict and consciousness and determination of the people’s status in a community or a particular group. In football, racism damages pride of the players and […]
• Racism in The Paper Menagerie Essay Also, it is a tragedy of the society the influence of which can be too devastating to heal.”The Paper Menagerie” teaches the audience how ungrateful and cruel a child can become under the pressure of […]
• Racism in “The Black Table Is Still There” by Graham The black table, as he calls it, is a table, that was and still is, present in his school’s cafeteria, that accommodated the black students only depicting no more than racism in schools.
• Racism in Music: “(What Did I Do to Be So) Black and Blue” The extreme popularity of the song among the black population can be explained with references to the fact that Armstrong changed the original lyrics to accentuate the social meaning of the composition and elaborated the […]
• Racism and Motherhood Themes in Grimke’s “Rachel” In addition, her mother kept the cause of the deaths of Rachel’s father and brother secret. In essence, the play Rachel is educative and addresses some of the challenges people face in society.
• Racial Discrimination Effects in Coming of Age in Mississippi by Anne Moody The vivid description of events from the beginning gives the reader a clear picture of a girl who was born in problems and in spite of her intelligence she always became a victim of circumstances.
• Racism and Discrimination as Social Constructs This is because the concept of race has a negative connotation in the society. For example in some societies, especially the western society; the concept of race implies un-fair treatment and discrimination of a particular […]
• Racism and Gender in Beyoncé’s Lemonade The album Lemonade by an American singer Beyonce is one of the brightest examples when an artist portrays the elements of her culture in her music. Along with music videos, the album features a number […]
• Systemic Racism and Discrimination Thus, exploring the concept of race from a sociological perspective emphasizes the initial aspect of inequality in the foundation of the concept and provides valuable insight into the reasons of racial discrimination in modern society.
• Social Construction of Race and Racism Although ‘race’ as a description of the physical condition probably dates back to the dawn of the human species, most scholars agree that it was primarily through European expansion in the 16th to the 19th […]
• Racial Discrimination at the Workplace The main change that is discussed in this essay is the introduction of legislation that will see the creation of a special authority that is aimed at guaranteeing the freedom of all workers at the […]
• Racism in Play “Othello” by William Shakespeare Since Othello is dark-skinned, the society is against his marriage to the daughter of the senator of Venice. In summary, the play Othello is captivating and presents racism as it was.
• Imperialism and Racism in Joseph Conrad’s Heart of Darkness He lauds “the book’s anti-imperialist theme…a stinging indictment of the callous and genocidal treatment of the Africans, and other nationals, at the hands of the British and the European imperial powers,” and also details the […]
• Is Troy Maxson (Wilson’s Fences) a Victim of Racism? As a black American, Troy’s childhood experiences have been passed on to his children, making him a victim of an oppressive culture. Therefore, this makes Troy a victim of racism and culture, contributing to his […]
• Colonialism and Racism in Foe by J. M. Coetzee and Small Island by Andrea Levy This paper will try to expound on the relevance of real-life politics, of colonialism and racism, with regards to two popular works of fiction that used as themes or backdrop colonialism and racism.
• Racism and Sexism as a Threat Women suffer from sexism, people of color are affected by racism, and women of color are victims of both phenomena. Prejudices spread in families, communities, and are difficult to break down as they become part […]
• Racial Discrimination in “A Raisin in the Sun” Racial discrimination is the main theme of the book, strongly reflecting the situation that prevailed during the 1950s in the United States, a time when the story’s Younger family lived in Chicago’s South Side ghetto.
• Sexism, Racism, Ableism, Ageism, Classism The absurdity and blatant sexism of this issue made me angry at how the United States is unable to resolve and overcome the lack of gender equality.
• Racism in Shakespeare’s “Othello” and Dick’s “Do Androids Dream of Electric Sheep?” The formalist analysis of Do Androids Dream of Electric Sheep repeats the same mistake, as it focuses on the plot devices and tropes presented in the story.
• Racism in Ralph Ellison’s “Battle Royal” The main focus of the story is the problem of racism, particularly to African-American people in the United States. In terms of other issues that “Battle Royal” demonstrates and that are further developed in the […]
• The Problem of Racism and Injustice in To Kill a Mockingbird by Harper Lee In the novel, Harper Lee demonstrates her vision of the question of the social inequality with references to the problem of racism in the society based on prejudice and absence of actual principles of tolerance […]
• The Anatomy of Scientific Racism: Racialist Responses to Black Athletic Achievement Miller is of the view that it is the white scholars that are responsible for impeding the success of black athletes and performers.
• Racism and Intolerance: The 1921 Tulsa Race Massacre The 1921 Tulsa Race Massacre: Crafting a Legacy by Messer elaborates on the legacy of the event and its repercussions and offers a profound analysis of the issue, which strengthened my focus of the research.
• Contrast Between Tituba and John Indian and Countering Racism The declaration suggests that Conde believed the story of Tituba’s maltreatment needed to be told to expose the truth she had been denied due to her skin color and gender.
• Racism: De Brahm’s Map and the Casta Paintings However, De Brahm’s map is one of the most striking pieces of evidence of the conquest of space and the entrenchment of the idea of land and people as titular property.
• Racism and Inequality in Society The idea of race as a social construct is examined in the first episode of the documentary series “The Power of an Illusion”.
• Anti-Racism: Marginalization and Exclusion in Healthcare This essay examines the course’s impact and the concepts of marginalization and exclusion in healthcare. Marginalization is a concept that has profoundly influenced the understanding of race and racism in healthcare.
• The Issue of Racism in the United States The entire history of the United States is permeated with the evolution of the ideas of racism. Turning to history, we can see that the U.S.moved from slavery to using the Black population to solve […]
• History of Racial Discrimination in Haiti and America The choice of topic, racial discrimination in Haiti and America, was influenced by beliefs, values, and assumptions emphasizing the importance of equality and justice for all races.
• Racism and History of Discrimination As a result, advocacy should be aimed at creating new models in criminal justice that will ensure the protection of all minority groups and due process.
• Racial Discrimination and Color Blindness Of the three ideologies, racial harmony is considered the most appropriate for coping with problems of racism and racial injustice due to various reasons.
• Race, Racism, and Dangers of Race Thinking While it is true that some forms of race thinking can be used to justify and perpetuate racism, it is not necessarily the case that all forms of race thinking are inherently racist. Race thinking […]
• Racial Discrimination in American Literature In this way, the author denies the difference between people of color and whites and, therefore, the concept of racism in general.
• Racism in the US: Settler Imperialism They prove that colonial imperialism is a structure, not a contextual phenomenon and that, as such, it propagates the marginalization of native people.
• Why Empathy in Racism Should Be Avoided Empathy is the capacity to comprehend and experience the emotions and ideas of others. Moreover, empathic emotions are essential to social and interpersonal life since they allow individuals to adapt their cognitive processes to their […]
• Racial Discrimination in High Education This peer-reviewed scholar article was found in the JSTOR database through entering key words “race affirmative action” and marking the publication period between 2017 and 2022.
• Social Sciences: Racism Through Different Lenses A thorough analysis of diversity adds value to social interactions by informing human behavior through a deeper understanding of racism and its impacts on society. Using the humanities lens leads to a better understanding of […]
• Racial Discrimination in Dormitory Discrimination is considered to be behavior that restricts the rights and freedoms of the individual. Therefore, it is essential to investigate discrimination in dormitories and propose solutions to this problem, such as disseminating knowledge about […]
• Racism and Its Impact on Populations and Society The ignorance of many individuals about other people’s cultures and ethnicities is one of the causes of racism. One can examine the various components of society and how they relate to the issue of racism […]
• Institutionalized Racism and Individualistic Racism Excellent examples of individualistic racism include the belief in white supremacy, racial jokes, employment discrimination, and personal prejudices against black people. Overall, institutionalized and individualistic racism is a perversive issue that affects racial relations in […]
• Community Engagement with Racism To enhance the population’s degree of involvement in racism, the study calls for collaboration; this can be seen as a community effort to foster a sense of teamwork.
• Racism Detection with Implicit Association Test Racial bias is deeply rooted in human society and propelled by norms and stereotypic ideologies that lead to implicit bias and the unfair treatment of minority groups.
• Identity and Belonging: Racism and Ethnicity In the documentary Afro Germany – Being Black and German, several individuals share their stories of feeling mistreated and excluded because of their skin color.
• Policies to Eliminate Racial Disparities and Discrimination The solution to exclusion is to build social inclusion in the classroom and within the school by encouraging peer acceptance, cross-group friendships, and built-in prevention.
• Causes, Facilitators, and Solutions to Racism These theories suggest that racism serves a particular function in society, occurs due to the interactions of individuals from dominant groups, and results from a human culture of prejudice and discrimination.
• Racial Discrimination and Justice in Education An example is the complaint of the parents of one of the black students that, during the passage of civilizations, the Greeks, Romans, and Incas were discussed in the lessons, but nothing was said about […]
• Empathy and Racism in Stockett’s The Help and Li’s To Kill a Mockingbird To start with, the first approach to racism and promoting empathy is to confront prevalent discrimination and racism, which was often shown in The Help. Another solution to racism and the possibility of promoting empathy […]
• Racism in the Healthcare Sector In 2020, the cases and instances of racism in healthcare rose by 16% from 2018; there were notable instances of racism in various spheres of health. 9% of blacks have been protected from discrimination and […]
• Racism in Healthcare and Education The mission should emphasize that it promotes diversity and equality of all students and seeks to eliminate racial bias. It is necessary to modify the mission to include the concept of inclusiveness and equality.
• Institutional Racism in the Workplace Despite countless efforts to offer African-Americans the same rights and opportunities as Whites, the situation cannot be resolved due to the emergence of new factors and challenges.
• Racism in Education in the United States Such racial disparities in the educational workforce confirm the problem of structural racism and barrier to implementing diversity in higher medical education. Structural racism has a long history and continues to affect the growth of […]
• Rhetoric in Obama’s 2008 Speech on Racism When the audience became excited, it was Obama’s responsibility to convey his message in a more accessible form. To conclude, Obama’s speech in 2008 facilitated his election as the first African American President in history.
• How to Talk to Children About Racism The text begins by referring to recent events that were related to race-based discrimination and hatred, such as the murder of George Floyd and the protests dedicated to the matter.
• Care for Real: Racism and Food Insecurity Care for Real relies on the generosity of residents, donation campaigns, and business owners to collect and deliver these supplies. The research article discusses some of the factors that contribute to the creation of racism […]
• Racism Towards Just and Holistic Health Therefore, the critical content of the event was to determine the steps covered so far in the fight for racial equality in the provision of care and what can be done to improve the status […]
• The Racism Problem and Its Relevance The images demonstrate how deeply racism is rooted in our society and the role the media plays in spreading and combating racism.
• Aspects of Socio-Economic Sides of Racism And the answer is given in Dorothy Brown’s article for CNN “Whites who escape the attention of the police benefit because of slavery’s long reach”.. This shows that the problem of racism is actual in […]
• Tackling Racism in the Workplace It means that reporting racism to HR does not have the expected positive effect on workplace relations, and employees may not feel secure to notify HR about the incidences of racism.
• Issue of Racism Around the World One of the instances of racism around the world is the manifestations of violence against indigenous women, which threatens the safety of this vulnerable group and should be mitigated.
• Environmental Racism: The Water Crisis in Flint, Michigan The situation is a manifestation of environmental racism and classism since most of the city’s population is people of color and poor. Thus, the water crisis in Flint, Michigan, is a manifestation of environmental racism […]
• The “Racism and Discrimination” Documentary The documentary “Racism and Discrimination” is about an anti-racist teacher Jane Elliot who attempts to show the white people the feeling of discrimination. The central argument of the documentary is diversity training to seize the […]
• Abortion-Related Racial Discrimination in the US In spite of being a numerical minority, Black women in the U.S.resort to abortion services rather often compared to the White population.
• Social Problems Surrounding Racism, Prejudice and Discrimination This kind of discrimination makes the students lose their self-esteem and the traumas experienced affects the mental health of these students in the long term.
• The Unethical Practice of Racism in a Doctor’s Case The involvement of Barrett in the protest is both unethical for the university’s image and immoral for the community. However, the school would likely face tougher court fines and a direct order to reinstate Barrett’s […]
• The Problem of Racism in America One explanation of racism by feminist thinkers is that racism is a manifestation of the agency and power of people of a particular racial identity over others.
• Racism: “The Sum of Us” Article by McGhee The economic analysis and sociological findings in America have drawn a detailed picture of the cost of racism in America and how to overcome it together.
• Contemporary Sociological Theories and American Racism The central intention of this theory paper is to apply modern theoretical concepts from the humanities discipline of sociology to the topic of racism in the United States.
• A Cause-and-Effect Analysis of Racism and Discrimination As a result, it is vital to conduct a cause-and-effect analysis to determine the key immediate and hidden causes of racism to be able to address them in a proper manner.
• Cause and Effect of Racial Discrimination Irrespective of massive efforts to emphasize the role of diversity and equality in society, it is still impossible to state that the United States is free from racial discrimination.
• Institutional Racism Through the Lenses of Housing Policy While not being allowed to buy property because of the racial covenants, the discriminated people had to house in other areas.
• Role of Racism in Contemporary US Public Opinion This source is useful because it defines racism, describes its forms, and presents the survey results about the prevalence of five types of racial bias.
• The Mutation of Racism into New Subtle Forms The trend reflects the ability of racism to respond to the rising sensitivity of the people and the widespread rejection of prejudice.
• Racism: Healthcare Crisis and the Nurses Role The diminished admittance to mind is because of the impacts of fundamental bigotry, going from doubt of the medical care framework to coordinate racial segregation by medical care suppliers.
• Origins of Racial Discrimination Despite such limitations as statistical data being left out, I will use this article to support the historical evaluation of racism in the United States and add ineffective policing to the origins of racism.
• Beverly Greene Life and View of Racism The plot of the biography, identified and formed by the Ackerman Institute for the Family in the life of the heroine, consists of dynamics, personality development and its patterns.
• Historical Racism in South Africa and the US One of the major differences between the US and South Africa is the fact that in the case of the former, an African American minority was brought to the continent to serve the White majority.
• Capitalism and Racism in Past and Present Racism includes social and economic inequalities due to racial identity and is represented through dispossession, colonialism, and slavery in the past and lynching, criminalization, and incarceration in the present.
• Minstrels’ Influence on the Spread of Racism The negative caricatures and disturbing artifacts developed to portray Black people within the museum were crucial in raising awareness on the existence of racism.
• How Parents of Color Transcend Nightmare of Racism Even after President Abraham Lincoln outlawed enslavement and won the American Civil War in 1965, prejudice toward black people remained engrained in both the northern and southern cultural structures of the United States.
• A Problem of Racial Discrimination in the Modern World This minor case suggests the greater problem that is unjustly treating people in the context of the criminal justice system. In the book, Stevenson writes about groups of people who are vulnerable to being victimized […]
• Beverly Tatum’s Monolog About Injustice of Racism Furthermore, the author’s point is to define the state of discrimination in the country and the world nowadays and explore what steps need to be taken to develop identity.
• Issue of Institutional Racism Systemic and structural racisms are a form of prejudice that is prevalent and deeply ingrained in structures, legislation, documented or unpublished guidelines, and entrenched customs and rituals.
• Racism in America Today: Problems of Today Even though racism and practices of racial discrimination had been banned in the 1960s after the mass protests and the changes to the laws that banned racial discrimination institutionally.
• Evidence of Existence of Modern Racism It would be wrong to claim that currently, the prevalence and extent of manifestations of racism are at the same level as in the middle of the last century.
• Culture Play in Prejudices, Stereotyping, and Racism However, cognitive and social aspects are significant dimensions that determine in-group members and the constituents of a threat in a global religious view hence the relationship between religion and prejudices.
• Latin-African Philosophical Wars on Racism in US Hooker juxtaposition Vasconcelos’ ‘Cosmic Race’ theory to Douglass’s account of ethnicity-based segregation in the U.S.as a way of showing the similarities between the racial versions of the two Americas.
• Confronting Stereotypes, Racism and Microaggression Stereotypes are established thought forms rooted in the minds of particular groups of people, in the social environment, and in the perception of other nations.
• Racial Discrimination in Dallas-Fort Worth Region Thus, there is a historical imbalance in the political representation of racial minorities in the Dallas-Fort Worth area. Nonetheless, the Black population is reported to thrive best in the suburban areas of DFW, where this […]
• Healthcare Call to Action: Racism in Medicine To start the fight, it is necessary to identify the main manifestations of discrimination in health care, the reasons for the emergence of the location of social superiority and discrimination, and the scale.
• White Counselors Broaching Race and Racism Study The essence of the verbal behavior of the consultants is the ways of their reaction in the process of interaction with the client – the basic skills of counseling, accessibly including race and racism topics.
• British Colonial Racism for Aboriginal Australians Precisely this colonial racism and genocide can be considered to be the cruelest in the history of the world and may have influenced the ideas and plans of Adolf Hitler, who got inspired by the […]
• The Black People: Sexuality and Racial Discrimination Interview Review Nevertheless, the author does not provide practical solutions to the issue of racism and discrimination of the LGBTQ community. The purpose of this interview is to demonstrate the author’s attitude to the sexuality of black […]
• Racial Discrimination Through the Cosmetics Industry The variety of preconceptions such as the hypersexuality of black women and the perception of their beauty as an unideal version of whites’ one also indicates racism.
• Racism Evolution: Experience of African Diaspora As a result, distinct foundations fostered the necessity of inequality to establish effectiveness of inferiority and superiority complexes. To determine the effect of slavery and racism to modern society.
• Racial Discrimination and Residential Segregation Despite the end of segregation policies and the passing of Fair Housing laws and numerous subsidy measures, people of color cannot access wealthy areas, facing unofficial exclusion into poorer parts of the city.
• Significance of Perceived Racism:Ethnic Group Disparities in Health Coates points out that a sign of the gulf between blacks and whites manifests in the context where there is expectation for him to enlighten his opinions while in mind the essential indication lies in […]
• Racism as Origin of Enslavement Some ideas are mentioned in the video, for example, the enslavement of Black people and their children. The most shocking fact mentioned by the speaker of the video is that children of enslaved people were […]
• Colorblind Racism and Its Minimization Colorblind racism is a practice that people use to defend themselves against accusations of racism and deny the significance of the problem.
• The Bill H.R.666 Anti-Racism in Public Health Act of 2021 That is why the given paper will identify a current and health-related bill and comment on it. This information demonstrates that it is not reasonable to oppose passing the bill under consideration.
• Summary of the Issue About Racism In schools in the United States, with the advent of the new president, a critical racial theory began to be taught.
• How the Prison Industrial Complex Perpetuate Racism In the United States, the system is a normalization of various dynamics, such as historical, cultural, and interpersonal, that routinely benefit the whites while causing negative impacts for the people of color.
• Battling Racism in the Modern World Racism and racial discrimination undermine the foundations of the dignity of an individual, as they aim to divide the human family, to which all peoples and people belong, into different categories, marking some of them […]
• Indian Youth Against Racism: Photo Analysis The main cause of racism within American societies is the high superiority complex possessed by the white individuals living with the Asian American in the society.
• Racism: Do We Need More Stringent Laws? The Civil Rights Division of the Department of Justice is worried that national origin discrimination in the U.S.may go undetected because victims of prejudice are unaware of their legal rights or are hesitant to complain […]
• Problem of Racism in Schools Overview Racism should be discouraged by all means and the government should do its best to educate citizens on the importance of unity and the disadvantages of racism.
• US Immigration Policy and Its Correlation to Structural Racism That may create breaches in the immigration policy and cause social instability that could endanger the status of immigrants and even negatively affect the lives of the nationals.
• America: Racism, Terrorism, and Ethno-Culturalism The myth of the frontier is one of the strongest and long-lived myths of America that animates the imagination of the Americans even to this day.
• Issue of Racism in Healthcare The theory would question whether racism in healthcare is ethical and whether it facilitates the provision of care in a manner that is centered on values such as compassion, fairness, and integrity.
• Solving Racial Discrimination in the US: The Best Strategies The Hollywood representation of a black woman is often a magical hero who “is a virtuous black character who serves to better the lives of white people…and asks nothing for herself”.
• Popular Music at the Times of Racism and Segregation The following work will compare and contrast the compositions of Louis Armstrong and Scott Joplin and examine the impact of racism on popular music.
• Temporary Aid Program: Racism in Child Welfare The purpose of this paper is to analyze the Temporary Assistance for Needy Families program in the context of child welfare disparities.
• Western Scientific Approach as a Cause of Racism This paper will highlight the main methods of refuting the works of racist anthropologists and how they influenced the emergence of stereotypes about people of color.
• How Does Racism Affect Health? Many people of color experience internalized racism, which can lead to anxiety and depression that can be the cause of physical issues.
• Citizen: An American Lyric and Systemic Racism In essence, the primary objective of the author is to trigger the readers’ thoughts towards the devastating racism situation in America and the world in general.
• The Reflection of Twain’s Views on Racism in Huck Finn One of the most problematic aspects in the novel that potentially can make readers think that Twain’s attitude toward slavery and racism is not laudable is the excessive usage of the n-word by all sorts […]
• Black as a Label: Racial Discrimination People are so used to identifying African Americans as black that they refuse to accept the possibility of the artificiality of labeling.
• The Tennessee Valley Authority (TVA) and Racial Discrimination The author argues that despite increasing the overall prosperity of the local communities, the policies and projects of the Tennessee Valley Authority did not address the well-being of the white population and Afro-American citizens equally.
• Flint Water Crisis: Environmental Racism and Racial Capitalism The Flint crisis is a result of the neoliberal approach of the local state as opposed to the typical factors of environmental injustice; a polluter or a reckless emitter cutting costs. The two main factors […]
• Cancer Alley and Environmental Racism One of the sources under study is valuable, as it examines the current situation of the coronavirus and the impact of pollution on human health.
• Cancer Alley and Environmental Racism in the US Bentlyewski and Juhn argue that the environmental racism in the country has been the result of aligning the public environmental policy and industrial activity to benefit the white majority and, at the same time, shifting […]
• American Healthcare in the Context of Racism According to the researchers, the fundamental issue of racism in health care is the practitioners and public health representatives’ lack of desire to recognize the health specifics of racial and ethnic minorities, which results in […]
• Origins of Modern Racism and Ancient Slavery The diversity of African kingdoms and the empires were engaged in the slave trade for hundreds of years prior to the beginnings of the Atlantic slave trade. The working and living condition of slaves were […]
• Root Causes and Solutions to Racism Media is meant to eradicate racism and maintain unity among people but the case is different in some situations. Also, it is vital to make children understand nothing is amusing in the use of stereotypes […]
• Contribution of Racism to Economic Recession Due to COVID-19 The historical injustice accounts for unequal employment opportunities and the economic profile of the minority groups. Therefore, economic recovery for the older Latinos and Blacks is limited due to the lack of flexible occupational benefits.
• What Stories Can Teach Us About Racism On top of this before the establishment of the school there was no public education for the Negro children and this made it more difficult for the children to access education just like the other […]
• Racism in Canadian Medical System The difference in the treatment of indigenous and non-indigenous individuals in Canada is a result of racism in the medical facility.
• Profit and Racism in the Prisons of the United States As an argument for the work of prisoners, the prison of Angola makes the argument that work is a way of rehabilitation for the prisoner.
• Rio Tinto: Case Study About Racism and Discrimination The repercussions of this situation for the preservation of cultural heritage may be considerable, as the expert community was denied an opportunity to research the artifacts.
• Racism: US v. The Amistad and Dred Scott v. Sandford In legal terms, the key difference between the two was that the Africans from Amistad were freeborn and enslaved in violation of the international agreements, while Dred Scott, despite his sojourn in Illinois, was born […]
• Critical Social Problems Research: Racism and Racial Domination According to his opinion, which is proven today by many examples including the attitude of the authorities, people of color are treated as if they are worthless and not destined to achieve success.
• Criminal Justice: Racial Prejudice and Racial Discrimination Souryal takes the reader through the racial prejudice and racial discrimination issues ranging from the temperament of racism, the fundamental premise of unfairness, the racial biasness and the causes of racial unfairness to ethical practices […]
• Gonzalez v. Abercrombie & Fitch Discrimination Racism Lawsuit: An Analysis The case was filed in June 2003, and the claim was that this company has grossly violated the rights of the citizens as provided for in the constitution of the country.
• The History of Racial Discrimination and Its Effects on the American Races The saddest part of it all is that our Indian American brothers are discussed in public and used as examples in a manner that makes it seem like they exist only as a mere caricature […]
• Racial Discrimination in the US Criminal Justice System This report argues that when one studies the proportion of blacks in the Cincinnati community and the number of times that they have been stopped for traffic violations, one finds that there is a large […]
• Policing in America: The Issue of Violence and Racism While the former proposition has various negative aspects to be considered, the latter appears to be the appropriate reaction to the challenges posed for the United States’ society in 2020.
• Institutional and Interpersonal Racism, White Privilege One should be aware of the fact that issues such as institutional and interpersonal racism, privilege, power, and bias are complex problems, which need a thorough analysis and consideration of all the facts.
• Anti-Racism in Shakespeare’s Othello For Shakespeare, Brabantio’s views are representative of the racial prejudice of the society in general, rather than of his personal feelings towards the protagonist. On the other hand, Othello’s story is cohesive and believable; he […]
• The Development of a Measure to Assess Symbolic Racism The originators of the concept applied it only to the African-American race, while other scientists engaged in researching and applying the construct of symbolic racism to other races and cultures.
• Racism and Tokenism in Bon Appetit: Leadership and Ethical Perspective Leadership is defined as a set of actions and beliefs of a manager who directs and controls the followers to achieve a common goal.
• From “Scientific” Racism to Local Histories of Lynching Both chapters serve as a premise to the following arguments in the book, arguing that White power is still dominant in the contemporary world, and give context to the broader scale of oppression worldwide.
• Subjective Assumptions and Medicine: Racism The given supposition demonstrates that Allen believed in the superiority of white southerners over Black Americans because the latter ones were made responsible for the deteriorated health of the former.
• Racism Experiences in the Workplace in the UK This research paper provides the background of racism in the UK, particularly in the area of employment. The UK struggles against racial discrimination and paves the way to equity and inclusion in the area of […]
• The History of Immigration to the United States and the Nature of Racism The development of the idea of race and ethnicity along with the idea of racial antagonism has two main stages in the history of the United States.
• Race and Racism in the USA: The Origins and the Future In conclusion, the author suggests that the possible solution to the problem of racial conflicts is the amalgamation of different races and ethnics.
• Racially Insensitive Name-Calling in Classroom Probably, the teacher had to initiate the lesson devoted to the topic of racial discrimination and to think over all the stages of the discussion, to organize it in a polite and friendly manner.
• Environmental Racism in the United States: Concept, Solution to the Problem With regards to this definition, a row of issues connected to social justice and the equality in the rights of people which is firmly established in the Constitution of the United States are to be […]
• Protecting George Wallace’s Organized Racism Instead of claiming that segregation was a necessary evil or that it benefited the minorities, he claimed that it is the only way to protect the freedom of the white people.
• How Can the World Unite to Fight Racism? One of the highly discussed topics in the modern world is the question of racism. It all leads to the idea that racism could be fought due to the improved educational system, where the teachers […]
• Racism in America and Its Literature In the first part of this stanza, Hughes articulates his view that when an African American is finally sitting at the table, others will recognize the beauty of African Americans.
• Race, Class and Gender. Racism on Practice The separation and the segregation on an individual or group is what is based on the grounds of racism, and this has been well illustrated in the book the Ethics of Living Jim Crow where […]
• Racism: Term Definition and History of Display of Racism Remarks It is no wonder that this form of discrimination is known to have caused the worst wars in the world and led to nations being formed together with all forms of legal codes.
• Institutional Discrimination, Prejudice and Racism Racism that is in the society today is not evident like that of the early 19th and 20th century which was characterized by among other things separation based on color of the skin, religious differences […]
• Racism in Contemporary North America The reality of the matter is that the different cultures and races share the political atmosphere, however, when it comes to religious, moral, and social practices, the diversified humanity of Canada does not share the […]
• Racial and Gender Discrimination in the Workplace and Housing Job discrimination is that discrimination which arises at the places of work Factors that include the presence of a high population of the unemployed create room for the vice.
• “Bluest Eye” by Toni Morrison: Themes of Racism and Unequal Opportunity But the mismatch of the real-life and the world of the primer becomes obvious to the reader from the first pages of the novel.
• Racism Without Racists in Patriarchal Society First of all, it should be mentioned that color-blind racism is not a new ideology that is only developing in the contemporary American society; it has been strengthening its positions over several decades gradually becoming […]
• The Problem of Racism in Canada The main focus of the article “Racism in the Justice System” can be understood due to the title of the article.
• Exploring and Comparing Racism and Ethnocentrism In their works, Martin Luther King and Gloria Anzaldua describe experience of racial minorities and segregation caused by their color of skin and cultural beliefs.
• Racism Cannot Be Unlearned Through Education
• Racism in Movies: Stereotypes and Prejudices
• Facing Racism: A Short Story
• White Supremacy as an Extreme Racism Group
• American Racism: So Why Isn’t Obama White?
• Rasism in “No Telephone to Heaven” by Michelle Cliff
• Racism Issues: Looking and Stereotype
• Anti-Racism Policy Statement in Australian Schools
• Racism, Minorities and Majorities Analysis
• Racism and Ethnicity in Latin America
• Racial Discrimination in Song ‘Strange Fruit’
• Racism Effects on the Premier League Players
• Social Psychology: Racism in Jury Behaviour
• Racism in the United States of the 21st Century
• “A Genealogy of Modern Racism” by C. West
• Appiah’s Ideas of Racism, Equality, and Justice
• Racism in Media: Positive and Negative Impact
• Racism: Once Overt, but Now Covert
• Racism: “Get Out” Film and “Screams on Screens” Article
• How Racism Makes Us Sick: Public Talk That Matters
• Environmental Racism and Indigenous Knowledge
• Scientific Racism: the Eugenics of Social Darwinism
• Racism in the “Do the Right Thing” Movie
• Islam and Racism: Malcolm X’s Letter From Mecca
• Racism vs. “Love Thy Neighbor as Thyself”
• Racism in Lesbians, Gays, Bisexuals, Transgenders
• Racism in Australian Football League Sporting Clubs
• Thomas Jefferson on Civil Rights, Slavery, Racism
• Racial Discrimination Forms Against Afro-Americas
• White Privilege and Racism in American Society
• Racism, Privilege and Stereotyping Concepts
• Racism in Rankine’s “Citizen” and Whitehead’s “The Underground Railroad”
• Kansas State University Community’s Racism Issues
• Racism in the United States: Before and After World War II
• Baldwin’s and Coates’ Anti-Racism Communication
• The Problem of Racism and Injustice
• Racism as the Epitome of Moral Bankruptcy
• Racism and Prejudice: “Gone With the Wind“ and “The Help”
• Racism in “The Invisible Man” by Ralph Ellison
• Racism in Trump’s and Clinton’s Campaigns
• Colin Powell and the Fight Against Structural Racism
• Racism in “Passing” and “Uncle Tom’s Children” Novels
• Racism in “To Kill Mocking Bird” by Harper Lee
• Racism Elimination and Sociological Strategies
• Racism History in No Name on the Street by Baldwin
• “Nigger” as a Racially Directed Slur
• Social and Cultural Diversity and Racism
• Racism and Discrimination in Religion Context
• Racism in Film “Savages” by Oliver Stone
• Racism: Theoretical Perspectives and Research Methods
• Racism in the Setting the Rising Sun Postcard
• Darwin’s and Galton’s Scientific Racism
• Does Racism and Discrimination Still Exist Today?
• The Voting Rights Act and Racial Discrimination
• English Literature Impact on Racism Among Africans
• Jerrell Shofner’s Views on the Racial Discrimination
• Asian American Communities and Racism in the USA
• Racial Discrimination and Its Effects on Employees
• Racial Discrimination in Social Institutions
• King’s and Obama’s Views on Racism in America
• Racism in USA: Virginia Laws on Slavery
• Racism as a Reality of Modern American Society
• Rodney King’s Case of Racial Discrimination
• Racism Issue and Solutions
• Intersectionality and Gendered Racism
• Racism and Education in the United States
• Racism in Michigan University
• Conflict and Racial Hostility
• Racism as a Case of Ignorance and Prejudice
• Racism and Segregation in American History
• Humanism, Racism, and Speciesism
• Racism in American Schools
• Racist America: Current Realities and Future Prospects
• The Challenges of Racism Influential for the Life of Frederick Douglass and Barack Obama
• Racism: Impact on Minorities in American Society
• Racism Against Native Americans
• Obama’s First Election and Racism
• Adolf Hitler: From Patriotism to Racism
• “Globalization and the Unleashing of New Racism: an Introduction” by Macedo and Gounari
• Problems of Environmental Racism
• How Obama’s First Election Has Been Affected by Racism?
• How Different Young Australians Experience Racism?
• Racial Discrimination in Organizations
• Understanding Race and Racism
• In Australia, Are Cultural Rights a Form of Racism?
• Racism, Stigma, and Eexism – Sociology
• Racism and Ethnicity in United States
• ‘Animal Rights’ Activists and Racism
• The Racial Discrimination Among Employers
• Psychological Impact: Stereotyping, Prejudice and Racism
• Multicultural Psychology: Cultural Identity and Racism
• How Fake News Use Satire as a Medium to Address Issues on Racism?
• Young Australians and Racism
• Relationship Between Institutionalized Racism and Marxism
• Democratic Racism in Canada
• Social Construction of “Race” and “Racism” and Its Relationship to Democratic Racism in Canada
• Ethnicity: Oppression and Racism
• Black or White Racism
• Racism in Family Therapy by Laszloffy and Hardy
• The Roma Problems and the Causes of Racism
• Racial Discrimination in the US
• The ‘Peopling’ Process of Australia Since 1788 With Influence of Racism
• Is Racism and Anti-Semitism Still a Problem in the United States?
• Globalization and Racism
• Society Moral Standards: Racism and Its Harmful Effects
• Racism in Native Son
• The Issue of Racial Segregation in the United States
• Racism and Male Dominance in Education
• Comparison of Racism in the United States and South Africa
• English Racism During World Cup
• The Historical Roots of Racism in Australia
• Maya Angelou: Racism and Segregation in “I Know Why the Caged Bird Sings”
• Racism Is Not All About Individual Attitude
• Discrimination, Prejudice and Racism in the United States
• Racial or Ethnical Discrimination
• The Role of Racism in American Art During the 1930s and 1940s
• Promotion of Racism in US Through Sports
• Racism in U.S. Criminal Justice System
• Racism, Colonialism and the Emergence of Third World
• Slavery and Racism: Black Brazilians v. Black Americans
• Why the Philosophy of King is More Effective in Fighting Racism than Malcolm’s?
• Racism and Discrimination: White Privilege
• Racism and Segregation in the United States
• The Root Cause of Racism and Ethnic Stratification in the US
• Racism and Anti-Semitism in the United States: The Issues Which Are Yet to Be Solved
• Racism in the USA
• Evidence of Racism in the American Schools
• Analysis on Religion, Racism and Family Conflicts
• Racism in American Schools: A Critical Look at the Modern School Mini-Society
• The Concept of Racism
• The Theme of Liberation From Racism in Two Plays by August Wilson
• The Policy Status Quo to Prevent Racism in American Schools
• Racial Profiling: Discrimination the People of Color
• Racism as a Central Factor in Representing Asian American History
• Reducing Racism in the University of Alberta and University of York
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IvyPanda. (2024, March 1). 398 Racism Essay Titles & Writing Examples. https://ivypanda.com/essays/topic/racism-essay-examples/

"398 Racism Essay Titles & Writing Examples." IvyPanda , 1 Mar. 2024, ivypanda.com/essays/topic/racism-essay-examples/.

IvyPanda . (2024) '398 Racism Essay Titles & Writing Examples'. 1 March.

IvyPanda . 2024. "398 Racism Essay Titles & Writing Examples." March 1, 2024. https://ivypanda.com/essays/topic/racism-essay-examples/.

1. IvyPanda . "398 Racism Essay Titles & Writing Examples." March 1, 2024. https://ivypanda.com/essays/topic/racism-essay-examples/.

Bibliography

IvyPanda . "398 Racism Essay Titles & Writing Examples." March 1, 2024. https://ivypanda.com/essays/topic/racism-essay-examples/.