Tackling Institutional Racism As a Wicked Public Health Problem: The Case for Anti-racism Praxis

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aut.relation.journalSocial Science and Medicineen_NZ
aut.researcherCame, Heather
dc.contributor.authorCame, Hen_NZ
dc.contributor.authorGriffith, DMen_NZ
dc.date.accessioned2017-07-26T22:32:59Z
dc.date.available2017-07-26T22:32:59Z
dc.date.copyright2017-03-16en_NZ
dc.date.issued2017-03-16en_NZ
dc.description.abstractInstitutional racism is a wicked public health problem that fuels systemic health inequities between population groups in New Zealand, the United States and elsewhere. While literature has examined racism and its effects on health, the work describing how and where to intervene to reduce institutional racism in public health is less developed. In this paper, we advance anti-racism praxis as a tool to address inequities in public health. While the notion of raising awareness of racism is not new, given the way racism has morphed into new narratives in health institutional settings, it has become critical to offer a new framework for informing efforts to address racism as a fundamental cause of health inequities. Using the cases of Māori in New Zealand and Black Americans in the United States, we describe key tensions and necessary considerations for reducing the effects of institutional racism on health. Our anti-racism praxis is anchored in an analysis of racism that is rooted in an explication of power. Examining the processes and outcomes associated with three faces of power provides critical insight into the persistence of health inequities. This praxis model is based on the premise that racism is a modifiable determinant of health and racial inequities can be eliminated with the necessary political will and a planned systems change approach. Anti-racism praxis provides the tools to examine the interconnection and interdependence of cultural, and institutional factors in each context as a foundation for examining where and how we need to intervene to address racism.en_NZ
dc.identifier.citationSocial Science & Medicine, doi: 10.1016/j.socscimed.2017.03.028
dc.identifier.doi10.1016/j.socscimed.2017.03.028en_NZ
dc.identifier.issn1873-5347en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/10693
dc.publisherElsevier
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0277953617301740?via%3Dihub
dc.rightsCopyright © 2017 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectRacism; Anti-racism; Ethnic inequities; Public health; Māori; Black Americans; Allies; Decolonisation
dc.titleTackling Institutional Racism As a Wicked Public Health Problem: The Case for Anti-racism Praxisen_NZ
dc.typeJournal Article
pubs.elements-id211484
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
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