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What is racism?

What is racism?. A system A system of structuring opportunity and assigning value What is racism?

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What is racism?

What is racism?

A system

A system of structuring opportunity and assigning value

What is racism?

A system of structuring opportunity and assigning value based on the social interpretation of how we look (“race”)

What is racism?

A system of structuring opportunity and assigning value based on the social interpretation of how we look (“race”) Unfairly disadvantages some individuals and

communities

What is racism?

A system of structuring opportunity and assigning value based on the social interpretation of how we look (“race”) Unfairly disadvantages some individuals and

communities Unfairly advantages other individuals and

communities

What is racism?

A system of structuring opportunity and assigning value based on the social interpretation of how we look (“race”) Unfairly disadvantages some individuals and

communities Unfairly advantages other individuals and

communities Saps the strength of the whole society through the

waste of human resources

What is racism?

Source: Jones CP, Phylon 2003

“Reactions to Race” module

Six-question optional module on the Behavioral Risk Factor Surveillance System

Piloted by six states in 2002Now available to all states

States using “Reactions to Race”Arkansas 2004California 2002Colorado 2004Delaware 2002 2004 2005District of Columbia 2004

Florida 2002Michigan 2006Mississippi 2004New Hampshire 2002New Mexico 2002

North Carolina 2002Ohio 2003 2005Rhode Island 2004South Carolina 2003 2004Washington 2004

Wisconsin 2004 2005 2006

Arkansas, Colorado, Delaware, District of Columbia,

Mississippi, Rhode Island, South Carolina, Wisconsin

States using “Reactions to Race” module on 2004 BRFSS

Socially-assigned “race”How do other people usually classify you in

this country? Would you say:

White Black or African-American Hispanic or Latino Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native Some other group

General health statusWould you say that in general your health

is:

Excellent Very good Good Fair Poor

020

4060

8010

0

58.3 43.7 41.2 36.1

perc

ent

of r

espo

nden

ts

Report excellent or very good healthWhite Black Hispanic AIAN

General health status by socially-assigned "race", 2004 BRFSS

020

4060

8010

0

58.3 43.7 41.2 36.1

perc

ent

of r

espo

nden

ts

Report excellent or very good healthWhite Black Hispanic AIAN

General health status by socially-assigned "race", 2004 BRFSS

020

4060

8010

0

58.3 43.7 41.2 36.1

perc

ent

of r

espo

nden

ts

Report excellent or very good healthWhite Black Hispanic AIAN

General health status by socially-assigned "race", 2004 BRFSS

13.9 21.5 20.9 22.1

perc

ent

of r

espo

nden

ts

Report fair or poor health

General health status and “race”“White” social experience associated with

better health

Self-identified ethnicityAre you Hispanic or Latino?

Yes No

Self-identified “race”Which one or more of the following would

you say is your race?

White Black or African-American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native Other

Which one of these groups would you say best represents your race?

Self-identified “race”/ethnicityHispanic

“Yes” to Hispanic/Latino ethnicity question Any response to race question

White “No” to Hispanic/Latino ethnicity question Only one response to race question, “White”

Black “No” to Hispanic/Latino ethnicity question Only one response to race question, “Black”

American Indian/Alaska Native “No” to Hispanic/Latino ethnicity question Only one response to race question, “AI/AN”

White Black Hispanic AIAN . . .

White

26,37398.4 0.1 0.3 0.1 1.1

Black

5,246 0.5 95.3 0.9 0.3 3.0

How

self

-id

en

tify

Two measures of “race”

How usually classified by others

White Black Hispanic AIAN . . .

White

26,37398.4 0.1 0.3 0.1 1.1

Black

5,246 0.5 95.3 0.9 0.3 3.0

Hispanic

1,52826.4 4.7 61.3 1.0 6.6

How

self

-id

en

tify

Two measures of “race”

How usually classified by others

White Black Hispanic AIAN . . .

White

26,37398.4 0.1 0.3 0.1 1.1

Black

5,246 0.5 95.3 0.9 0.3 3.0

Hispanic

1,52826.4 4.7 61.3 1.0 6.6

How

self

-id

en

tify

Two measures of “race”

How usually classified by others

02

04

06

08

01

00

39.8

53.7

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthHispanic-Hispanic Hispanic-White White-White

General health status, by self-identified and socially-assigned "race", 2004

02

04

06

08

01

00

39.8

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthHispanic-Hispanic White-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

Hispanic-Hispanic versus White-White

p < 0.0001

02

04

06

08

01

00

39.8

53.7

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthHispanic-Hispanic Hispanic-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

Hispanic-Hispanic versus Hispanic-White

p = 0.0019

02

04

06

08

01

00

53.7

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthHispanic-White White-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

Hispanic-White versus White-White

p = 0.1895

White Black Hispanic AIAN . . .

White

26,37398.4 0.1 0.3 0.1 1.1

Black

5,246 0.5 95.3 0.9 0.3 3.0

Hispanic

1,52826.4 4.7 61.3 1.0 6.6

AIAN

32145.5 6.9 6.5 33.6 7.5

How

self

-id

en

tify

Two measures of “race”

How usually classified by others

White Black Hispanic AIAN . . .

White

26,37398.4 0.1 0.3 0.1 1.1

Black

5,246 0.5 95.3 0.9 0.3 3.0

Hispanic

1,52826.4 4.7 61.3 1.0 6.6

AIAN

32145.5 6.9 6.5 33.6 7.5

How

self

-id

en

tify

Two measures of “race”

How usually classified by others

02

04

06

08

01

00

32

52.6

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthAIAN-AIAN AIAN-White White-White

General health status, by self-identified and socially-assigned "race", 2004

02

04

06

08

01

00

32

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthAIAN-AIAN White-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

AIAN-AIAN versus White-White

p < 0.0001

02

04

06

08

01

00

32

52.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthAIAN-AIAN AIAN-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

AIAN-AIAN versus AIAN-White

p = 0.0122

02

04

06

08

01

00

52.6

58.6

pe

rce

nt

of

resp

on

de

nts

Report excellent or very good healthAIAN-White White-White

General health status, by self-identified and socially-assigned "race", 2004

Test of H0: No difference in proportions

reporting excellent or very good health

AIAN-White versus White-White

p = 0.3070

General health status and “race”“White” social experience associated with

better health Even within the same self-identified “race”/ethnic

group

020

4060

8010

0

32.5 27.7

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

Less than high school graduate

General health status by education and "race", 2004 BRFSS

020

4060

8010

0

32.5 27.7

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

Less than high school graduate

020

4060

8010

0

48.1 39.1

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

High school graduate or GED

General health status by education and "race", 2004 BRFSS

020

4060

8010

0

32.5 27.7

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

Less than high school graduate

020

4060

8010

0

48.1 39.1

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

High school graduate or GED

020

4060

8010

0

66.9 54

White Black

Per

cent

"ex

celle

nt"

or "

very

goo

d"

Some college or more

General health status by education and "race", 2004 BRFSS

w

w

w

w

w

02

04

06

08

0

Education level

Pe

rce

nt "

exc

elle

nt"

or

"ve

ry g

oo

d"

16+ 13-15 12 9-11 0-8

bb

b

b

b

General health status by education and "race", 2004 BRFSS

General health status and “race”“White” social experience associated with

better health Even within the same self-identified “race”/ethnic

group Even within the same educational level

w

w

w

w

w

02

04

06

08

0

Education level

Pe

rce

nt "

exc

elle

nt"

or

"ve

ry g

oo

d"

16+ 13-15 12 9-11 0-8

bb

b

b

b

General health status by education and "race", 2004 BRFSS

w

w

w

w

w

02

04

06

08

0

Education level

Pe

rce

nt "

exc

elle

nt"

or

"ve

ry g

oo

d"

16+ 13-15 12 9-11 0-8

bb

b

b

b0

51

01

52

02

5

16+ 13-15 12 9-11 0-8

Education level

Pe

rce

nt d

istr

ibu

tion

non-blackblack

General health status by education and "race", 2004 BRFSS

w

w

w

w

w

02

04

06

08

0

Education level

Pe

rce

nt "

exc

elle

nt"

or

"ve

ry g

oo

d"

16+ 13-15 12 9-11 0-8

bb

b

b

b0

51

01

52

02

5

16+ 13-15 12 9-11 0-8

Education level

Pe

rce

nt d

istr

ibu

tion

non-blackblack

General health status by education and "race", 2004 BRFSS

w

w

w

w

w

02

04

06

08

0

Education level

Pe

rce

nt "

exc

elle

nt"

or

"ve

ry g

oo

d"

16+ 13-15 12 9-11 0-8

bb

b

b

b0

20

40

60

80

10

0

16+ 13-15 12 9-11 0-8

Education level

Pe

rce

nt d

istr

ibu

tion

non-whitewhite

General health status by education and "race", 2004 BRFSS

General health status and “race”“White” social experience associated with

better health Even within the same self-identified “race”/ethnic

group Even within the same educational level

“White” social experience associated with higher education

Key questionsWHY is socially-assigned “race” associated

with self-reported general health status? Even within the same self-identified “race”/ethnic

group Even within the same educational level

WHY is socially-assigned “race” associated with educational level?

A system of structuring opportunity and assigning value based on the social interpretation of how we look (“race”) Unfairly disadvantages some individuals and

communities Unfairly advantages other individuals and

communities Saps the strength of the whole society through the

waste of human resources

Racism

Source: Jones CP, Phylon 2003