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{{Short description|Sociocultural phenomenon}}
{{essay-like|date=December 2018}}
{{Discrimination sidebar}}
{{Discrimination sidebar}}
{{Distinguish|Institutional racism|Structural inequality|Structural violence|Structural abuse}}
'''Societal racism''' is the formalization of a set of institutional, historical, cultural, and interpersonal practices within a [[society]] that more often than not puts one social or ethnic group in a better position to succeed and at the same time disadvantages other groups in a consistent and constant matter that disparities develop between the groups over a period of time.<ref>{{cite journal |last1=Lawrence |first1=Keith |last2=Keleher |first2=Terry |title=Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities |journal=Poverty Outcomes |pages=24 |year=2004 |url=https://www.intergroupresources.com/rc/Definitions%20of%20Racism.pdf |accessdate=28 November 2018}}</ref> Societal racism has also been called '''structural racism''', because, according to Carl E. James, society is structured in a way that excludes substantial numbers of people from minority backgrounds from taking part in social institutions.<ref name=James>{{cite book|last=James|first=Carl E.|title=Perspectives on Racism and the Human Services Sector: A Case for Change|date=8 February 1996|publisher=University of Toronto Press|page=27|edition=2nd Revised}}</ref>
'''Societal racism''' is a type of [[racism]] based on a set of [[Institutional racism|institutional]], historical, cultural and interpersonal practices within a [[society]] that places one or more social or ethnic groups in a better position to succeed and disadvantages other groups so that disparities develop between the groups.<ref>{{cite journal |last1=Lawrence |first1=Keith |last2=Keleher |first2=Terry |title=Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities |journal=Poverty Outcomes |pages=24 |year=2004 |url=https://www.intergroupresources.com/rc/Definitions%20of%20Racism.pdf |access-date=28 November 2018}}</ref> Societal racism has also been called '''structural racism''', because, according to [[Carl E. James]], society is structured in a way that excludes substantial numbers of people from minority backgrounds from taking part in social institutions.<ref name=James>{{cite book|last=James|first=Carl E.|title=Perspectives on Racism and the Human Services Sector: A Case for Change|date=8 February 1996|publisher=University of Toronto Press|page=27|edition=2nd Revised}}</ref> Societal racism is sometimes referred to as '''systemic racism''' as well.<ref>{{cite news |last1=Yancey-Bragg |first1=N'dea |title=What is systemic racism? Here's what it means and how you can help dismantle it |url=https://www.usatoday.com/story/news/nation/2020/06/15/systemic-racism-what-does-mean/5343549002/ |access-date=29 August 2020 |publisher=USA Today |date=15 June 2020}}</ref> Societal racism is a form of [[Institutional discrimination|societal discrimination]].<ref name="u736">{{cite web | title=Beyond Bakke: The Constitution and Redressing the Social History of Racism
| journal=Harv. C.R.-C.L. L. Rev. | date=8 March 2021 | url=https://heinonline.org/HOL/LandingPage?handle=hein.journals/hcrcl14&div=11&id=&page= | access-date=25 August 2024}}</ref>


== Background and importance ==
== Background and importance ==
According to James Joseph Scheurich and Michelle D. Young, racism can be categorized into five types:
According to James Joseph Scheurich and Michelle D. Young, racism can be categorized into five types:<ref name="Scheurich">{{cite book|last=Scheurich and Young|first=James Joseph and Michelle D.|title=The Racial Crisis in American Higher Education|date=22 January 1991|publisher=State University of New York|isbn=978-0791405215|editor=William A. Smith|editor2=Philip G. Altbach|editor3=Kofi Lomote|url-access=registration|url=https://archive.org/details/racialcrisisinam0000unse}}</ref>
* overt racism, for example, when an individual says something racist;
* Overt racism, for example, when an individual says something racist
* [[covert racism]], which is also an individual phenomenon;
* [[Covert racism]], which is also an individual phenomenon
* [[institutional racism]], which is when institutions treat people of different races differently;
* [[Institutional racism]], which is when institutions treat people of different races differently
* societal racism, and
* Societal racism
* Civilizational racism
* [[civilizational racism]].<ref name="Scheurich">{{cite book|last=Scheurich and Young|first=James Joseph and Michelle D.|title=The Racial Crisis in American Higher Education|date=22 January 1991|publisher=State University of New York|isbn=978-0791405215|editor=William A. Smith |editor2=Philip G. Altbach |editor3=Kofi Lomote}}</ref>


Structural Racism is harder to detect because it requires data to be examined over time to determine how the set of institutional, historical, cultural, and interpersonal practices maintain racial inequalities over a period of time. However, structural racism is the most prevalent form of racism because of how it pervades every level of society by incorporating the institutional, historical, cultural, and interpersonal practices within a society that perpetuates racial inequalities therefore evaluating society as a whole.<ref name="auto">{{cite journal |last1=Lawrence |first1=Keith |last2=Keleher |first2=Terry |title=Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities |journal=Poverty Outcomes |pages=24 |date=2004 |url=https://www.intergroupresources.com/rc/Definitions%20of%20Racism.pdf |accessdate=28 November 2018}}</ref> The same facts that make structural racism the most prevalent in society make it difficult to analyze and a poor choice when looking at an individual organization because it needs to analyze every level of a society not just a certain organization. The decisive factors for determining if structural racism is active in a society is if there are racial inequalities present in wealth, power, education, healthcare, and opportunities.
Structural racism is harder to detect because it requires data to be examined over time to determine how the set of institutional, historical, cultural, and interpersonal practices maintain racial inequalities over a period of time. However, structural racism is the most prevalent form of racism because of how it pervades every level of society by incorporating the institutional, historical, cultural, and interpersonal practices within a society that perpetuates racial inequalities, therefore evaluating society as a whole.<ref name="auto">{{cite journal |last1=Lawrence |first1=Keith |last2=Keleher |first2=Terry |title=Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities |journal=Poverty Outcomes |pages=24 |date=2004 |url=https://www.intergroupresources.com/rc/Definitions%20of%20Racism.pdf |access-date=28 November 2018}}</ref>

==White supremacy==
[[White supremacy]] can refer to societal racism or individual, formal racism related to the identity of [[white people]].<ref name="n127">{{cite journal | last=Love | first=April | title=Recognizing, Understanding, and Defining Systemic and Individual White Supremacy | journal=SSRN Electronic Journal | publisher=Elsevier BV | year=2022 | issn=1556-5068 | doi=10.2139/ssrn.4075353 | page=}}</ref>

== In the United Kingdom ==

The use of the British word “[[chav]]” has been described as a form of "social racism".<ref> https://web.archive.org/web/20081015162621/http://www.timesonline.co.uk/article/0,,7-1488120,00.html</ref>


== In the United States ==
== In the United States ==
[[File:Gavin Newsom speaking about societal racism - 2020-05-29.ogg|thumb|California Governor [[Gavin Newsom]] speaks in May 2020 about societal racism in the wake of the [[murder of George Floyd]].]]
[[George M. Fredrickson]] has written that societal racism is deeply embedded in American culture and that in the 18th century, societal racism had already emerged with the purpose of maintaining a white-dominated society,<ref name=Ray>{{cite book|last=Ray|first=George B.|title=Language and Interracial Communication in the U. S.: Speaking in Black and White|date=1 May 2009|publisher=Peter Lang|isbn=978-0820462455|page=7}}</ref> and that "societal racism does not require an ideology to sustain it so long as it was taken for granted".<ref name=Fredrickson>{{cite book|last=Fredrickson|first=George M.|title=The Arrogance of Race: Historical Perspectives on Slavery, Racism and Social Inequality|url=https://archive.org/details/arroganceofraceh00fred|url-access=registration|date=30 June 1988|publisher=Wesleyan University Press|isbn=978-0819562173|page=[https://archive.org/details/arroganceofraceh00fred/page/202 202]}}</ref> When looking specifically at structural racism within the United States of America it is the formalization of practices that frequently puts whites, or Caucasians, in a position of advantage while at the same time being consistently detrimental to people of color, such as African Americans, Hispanics, Native Americans, Pacific Islanders, Asians, and Middle Easterners. This position of advantage often entails: more opportunities to hold positions of power; privilege, [[white privilege]]; and superior treatment by institutions. This results in racial inequalities between whites and other ethnic groups which often manifest as issues of poverty or health disparities between the groups. Although structural racism often manifest as poverty or [[race and health in the United States|healthcare disparities]] it actually includes the whole structure of [[white supremacy]] that pervades the United States including cultural, political, historical, and socioeconomic parts of society; therefore one can see that structural racism exists within and around every level of society and allows the formalization of structural racism by maintaining it across all levels of a society.<ref name="auto"/>
[[George M. Fredrickson]] has written that societal racism is deeply embedded in American culture and that in the 18th century, societal racism had already emerged with the purpose of maintaining a white-dominated society,<ref name=Ray>{{cite book|last=Ray|first=George B.|title=Language and Interracial Communication in the U. S.: Speaking in Black and White|date=1 May 2009|publisher=Peter Lang|isbn=978-0820462455|page=7}}</ref> and that "societal racism does not require an ideology to sustain it so long as it was taken for granted".<ref name=Fredrickson>{{cite book|last=Fredrickson|first=George M.|title=The Arrogance of Race: Historical Perspectives on Slavery, Racism and Social Inequality|url=https://archive.org/details/arroganceofraceh00fred|url-access=registration|date=30 June 1988|publisher=Wesleyan University Press|isbn=978-0819562173|page=[https://archive.org/details/arroganceofraceh00fred/page/202 202]}}</ref> When looking specifically at structural racism within the [[United States|United States of America]] it is the formalization of practices that frequently put [[White people|whites]], or [[Caucasian race|Caucasians]], in a position of advantage while at the same time being consistently detrimental to people of color, such as [[African Americans]], [[Hispanic|Hispanics]], [[Native Americans in the United States|Native Americans]], [[Pacific Islander|Pacific Islanders]], [[Asian Americans|Asians]], and [[Ethnic groups in the Middle East|Middle Easterners]]. This position of advantage often entails: more opportunities to hold positions of power; privilege, [[white privilege]]; and superior treatment by institutions. This results in racial inequalities between whites and other ethnic groups which often manifest as issues of poverty or [[health disparities]] between the groups.<ref name="auto"/>


===Poverty===
===Poverty===
The analysis of poverty levels, currently or over a period of time, across different ethnic groups can give an indication of, but do not imply, structural racism. The 2017 poverty guideline for the contiguous United States for a household of 3 is $20,460.00 according to the U.S. Department of Health and Human Services.<ref>{{cite web |title=2017 Poverty Guidelines |url=https://aspe.hhs.gov/2017-poverty-guidelines |website=ASPE |publisher=U.S. Department of Health and Human Services |access-date=4 December 2018|date=2018-01-12 }}</ref> A household size of three was chosen since the average size in the United States is about three. Using the poverty guideline for a household size of three from the U.S. Department of Health and Human Services as a baseline to compare incomes by household in each ethnic group, one can see the trends and compare the groups. The table below is based on the 2017 U.S. census data and shows the poverty levels of the primary racial groups in the U.S.:<ref name="auto1">{{cite web|title=Income and Poverty in the United States:2017 REPORT NUMBER P60-263|url=https://www.census.gov/library/publications/2018/demo/p60-263.html|access-date=1 December 2018|website=United States Census Bureau}}</ref>
The analysis of poverty levels across different ethnic groups can give an indication of structural racism. To start one must look at the current poverty level in each race group and then the trends over a period a time. The 2017 poverty guideline for the contiguous United States for a household of 3 is $20,460.00 according to the U.S. Department of Health and Human Services.<ref>{{cite web |title=2017 Poverty Guidelines |url=https://aspe.hhs.gov/2017-poverty-guidelines |website=ASPE |publisher=U.S. Department of Health and Human Services |accessdate=4 December 2018|date=2018-01-12 }}</ref> A household size of three was chosen since the average size in the United States is about three. Using the poverty guideline for a household size of three from the U.S. Department of Health and Human Services as a baseline to compare incomes by household in each ethnic group, one can see the trends and compare the groups. Based on the 2017 U.S. census data and the poverty guideline roughly 13.4% of households who identify as white only make at or below the poverty level and about 20.3% make double or less than double the poverty limit; for those households who identify as black about 26.8% are at or below the poverty line and about 26.9% make double or less than double the poverty limit; for the households who identify as Asian about 12.6% are at or below the poverty line and about 15.1% make double or less than double the poverty limit; and for the households that identify as Hispanic about 18.1% are at or below the poverty line and about 26.2% make double or less than double the poverty limit.<ref name="auto1">{{cite web |first1= |title=Income and Poverty in the United States:2017 REPORT NUMBER P60-263 |url=https://www.census.gov/library/publications/2018/demo/p60-263.html |website=United States Census Bureau |accessdate=1 December 2018}}</ref> Compared to households who identify as white those who identify as Black or Hispanic have higher rates of poverty. The households who identify as Asian actually have lower rates of poverty whether it is due to higher education here or immigrating already educated and ready to work but one thing is certain this contributes to the [[model minority]] stereotype that comes with, bringing along a whole new set of concepts not always good and causes more distance between Asians and other ethnic groups. Regardless of what the difference is between the Asian household sand the others the disparities between the others is clear. A little more than twice the percentage of Black households are impoverished compared to white households and Hispanic households are about five percent more likely to at or below the poverty line. Both Hispanic and Black households have about a six percent amount of households that make less than or double the poverty line compared to white households. As expected these differences in also translate when considering households of each ethnic group that bring in six figures or more. Still based on the 2017 U.S. census data the percentage households that identify as white alone who have over six figure incomes is 32.9%; only 16.1% of households that identify as Black have six figure incomes; 41.7% of households that identify as Asian have six figure incomes; and the percentage of Hispanic households that have six figure incomes or more is 19.8%.<ref name="auto1"/> Once again the same trend emerges here as with the poverty lines. There are disparities between the white households and the Black and Hispanic households. There are more than twice the percentage of Black households with six figure incomes compared to white households;on the other hand Hispanic households have 13% lower amount of households with six figure incomes comparatively. This shows how extensive the wealth gap is between the ethnic groups because they have more impoverished and less wealthy households. The wealth gap between ethnic groups has been present for a while and can be seen over time as median income in the following figure from the U.S. Census website. [[File:2017 Median income graph by ethnicity.png|thumb|2017 median income graph by ethnicity from the U.S. Census Bureau website]] This figure shows that even though as a whole every group got wealthier, the gap between the ethnic groups has stayed relatively the same or slightly grown. This is one of the key concepts of structural racism, there are poverty inequalities that have persisted for decades. Poverty leads to health issues, less higher education, more high school dropouts, more teenage pregnancy, and less opportunities. Therefore, a large part of structural racism has to do with perpetuating a cycle of poverty onto other ethnic groups which makes it substantially harder for them to get to same point or work there way up as a white person in America. This is because the impoverished start with less and because it has been a cycle of poverty most ethnic families do not have property, savings, or valuables to pass on, which just perpetuates the cycle further. These comparisons were not intended to ostracize,exclude, or lump any ethnic groups; there was not current data on Pacific Islander,Native American, or Middle Easterners in the U.S. Census Bureau study that was used.
{| class="wikitable"
|+
!
!At or below the
poverty limit
!Between twice the poverty limit to
the poverty limit
!Households with income over $100,000/year
|-
|Asian
|12.6%
|15.1%
|41.7%
|-
|White
|13.4%
|20.3%
|32.9%
|-
|Hispanic
|18.1%
|26.2%
|19.8%
|-
|Black
|26.8%
|26.9%
|16.1%
|}
Compared to households who identify as white those who identify as Black or Hispanic have higher rates of poverty. Households who identify as Asian have lower rates of poverty as many immigrated after receiving job offers earned through their work and education background and Asians born in the United States have a high rate of post-secondary education, contributing to the [[model minority]] stereotype that causes distance between Asians and poorer ethnic groups. On the other hand, a significant number of Hispanics in the United States are or are descendent of recent immigrants that sought menial work in the United States and brought little or no wealth with them which would contribute to the income difference seen between Hispanics and others. Black households are twice as likely to be impoverished compared to white households. Hispanic households are about 35% more likely than white households to be at or below the poverty line. Both Hispanic and Black households are 35% more likely than white households to have an income between twice the poverty line and the poverty line. Asian households are 27%, 159%, and 110% more likely than White, Black, or Hispanic households, respectively, to have six figure incomes.
[[File:2017 Median income graph by ethnicity.png|thumb|2017 median income graph by ethnicity from the U.S. Census Bureau website]]
The [[wealth gap]] between ethnic groups has existed throughout history. White households hold much greater levels of housing equity, business equity, and financial assets than Black and Hispanic households.<ref name="auto4">{{Cite web|url=https://www.ssa.gov/policy/docs/workingpapers/wp95.html|title=Racial and Ethnic Differences in Wealth Holdings and Portfolio Choices|website=Social Security Administration Research, Statistics, and Policy Analysis |access-date=June 17, 2021 }}</ref> Married couples can accumulate wealth quickly through sharing resources. Black households are twice as often single adults compared to white households.<ref name="auto4"/>
Poverty leads to health issues, less higher education, more high school dropouts, more teenage pregnancy, and less opportunities. Therefore, a large part of structural racism has to do with the cycle of poverty which makes it substantially harder for people and their descendants caught in the cycle to accumulate enough wealth to increase their income and capital gains.


===Health inequities===
===Health inequities===
{{see also|Health equity|Biological inequity|Race and health in the United States|Institutional racism#Racism in health care and environmental racism|Medical racism in the United States}}
The cycle of poverty that structural racism imposes on minorities has adverse effects on their overall health, among other things. [[Health equity|Health inequities]] can manifest as disparities in several aspects of health such as obesity, heart disease, life span, infant mortality, sexual education, exercise, drug use, and cancer. Furthermore, racism itself is thought to have a negative impact on both mental and physical health. According to a paper that analyzed published research, on PubMed from the years 2005-2007, on the connection between discrimination and health there is an inverse relationship between the two; furthermore, the pattern is becoming more apparent across a greater variety of issues and data.<ref name="auto2">{{cite journal |last1=Williams |first1=David R. |last2=Mohammed |first2=Selina A. |title=Discrimination and racial disparities in health: evidence and needed research |journal=Journal of Behavioral Medicine |date=22 November 2008 |volume=32 |issue=1 |pages=20–47 |doi=10.1007/s10865-008-9185-0 |pmid=19030981 |pmc=2821669 |issn=1573-3521}}</ref> The fact that a pattern has emerged from the study of this published research data shows that these health inequities are being maintained and reinforced by structural racism. Although this study relies on data from 2005-2007 to support it and show the pattern,this pattern was noticed as far back as 1985 and since then healthcare has come an even longer way. According to the 1985 Report of the Secretary's Task Force on Black and Minority Health by the U.S. Department of Health and Human Services in general Americans were getting healthier and had increased longevity but there is a persisting inequality between Blacks and other minority groups in the rate of death and illness contrasting to the overall population; furthermore, the report notes that this inequality has been around for more than a generation at this point or since better, more factual federal records have been kept.<ref>{{cite journal |last1=Heckler |first1=Margret M. U.S. Department of Health and Human Services |title=Executive Summary |journal=Report of the Secretary's Task Force Report on Black and Minority Health |date=1985 |volume=1 |url=https://minorityhealth.hhs.gov/assets/pdf/checked/1/ANDERSON.pdf |accessdate=2 December 2018}}</ref> This is definitive proof that the federal government noticed these racial inequalities in health long before the 2005-2007 study of research data that revealed a pattern. More importantly it shows structural racism has maintained these health inequalities across decades even though the in general Americans have become more healthy and have increased lifespans. Based on the studies they reviewed it became apparent that regardless of socioeconomic status there are racial inequalities in health were present between minority groups for several health issues such as diabetes, hypertension, heart disease, and obesity.<ref name="auto2"/> This shows the health inequities caused by structural racism can be alleviated by increasing socioeconomic status but they still persist at all levels, showing the overarching power and cycle that structural racism submits minorities too. In addition, there is data that supports the fact that as health care has advanced worldwide overall there are more increases in health inequalities between races. One such study that supports this is The Progress Toward the Healthy People 2010 Goals and Objectives which is a review, done by members of the National Center for Health Statistics of the [[Centers for Disease Control and Prevention]] and the Center of Excellence on Health Disparities, Morehouse School of Medicine, that explores progress towards improving the overall health quality and longevity of Americans and the health disparities between ethnic groups. To accomplish this they used a system of 31 measures to analyze the progress and disparities; which consisted of 10 leading health indicators (LHI), created by the Department of Health and Human Services, with a few objectives each for twenty two total and the remaining measures were formulated by the group who did the review.<ref name="auto3">{{cite journal |last1=Sondik |first1=Edward J. |last2=Huang |first2=David T. |last3=Klein |first3=Richard J. |last4=Satcher |first4=David |title=Progress Toward the Healthy People 2010 Goals and Objectives |journal=Annual Review of Public Health |date=21 April 2010 |volume=31 |pages=271–81 4 p folliwng 281 |doi=10.1146/annurev.publhealth.012809.103613 |pmid=20070194 }}</ref> The ten leading health indicators are: Physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, and access to healthcare; the group who did the review supplemented the leading health indicators with 7 more objectives and 2 more measures, infant mortality and life expectancy to give 31 in total.<ref name="auto3"/> They used these measures to track the disparities be tween Asians, Hispanic or Latino, Black Non-Hispanics, white non-Hispanic, American Indian or Alaskan Natives, and Native Hawaiians or Pacific Islanders; However it is important to note that data is not available for every ethnic group for all 31 measures. However using the available data for the objectives they have more than one time period on they found 6 objectives showed a decrease in disparity between ethnic groups and the national average while they found 18 disparity increases across 11 objectives.<ref name="auto3"/> This confirms that even as healthcare is advancing and new scientific discoveries are being made overall the disparities between ethnic groups are increasing. This is a trend that was noticed in the 1985 report and has continued through the time worsening its effects and contributing to greater health inequalities. Therefore, it can be said that structural racism acts in such a way that it actively hinders the health and longevity of minorities.
The [[cycle of poverty]] that structural racism could impose on minorities has adverse effects on their overall health, among other things. Health inequities can manifest as disparities in several aspects of health such as quality of healthcare, incidence and outcome of disease or disorders, life span, infant mortality, health and sexual education, exercise, and drug use. Furthermore, racism itself is thought to have a negative impact on both mental and physical health.

According to a paper that analyzed published research on PubMed from the years 2005–2007 on the connection between discrimination and health, there is an inverse relationship between the two; furthermore, the pattern is becoming more apparent across a greater variety of issues and data.<ref name="auto2">{{cite journal |last1=Williams |first1=David R. |last2=Mohammed |first2=Selina A. |title=Discrimination and racial disparities in health: evidence and needed research |journal=Journal of Behavioral Medicine |date=22 November 2008 |volume=32 |issue=1 |pages=20–47 |doi=10.1007/s10865-008-9185-0 |pmid=19030981 |pmc=2821669 |issn=1573-3521}}</ref> This study shows that this long known pattern has not disappeared. According to the 1985 [[Heckler Report|Report of the Secretary's Task Force on Black and Minority Health]] by the U.S. Department of Health and Human Services in general Americans were getting healthier and had increased longevity but there is a persisting inequality between Blacks and other minority groups in the rate of death and illness contrasting to the overall population; furthermore, the report notes that this inequality has been around for more than a generation at this point or since better, more factual federal records have been kept.<ref>{{cite journal |last1=Heckler |first1=Margret M. U.S. Department of Health and Human Services |title=Executive Summary |journal=Report of the Secretary's Task Force Report on Black and Minority Health |date=1985 |volume=1 |url=https://minorityhealth.hhs.gov/assets/pdf/checked/1/ANDERSON.pdf |access-date=2 December 2018}}</ref>

This is definitive proof that the federal government noticed these racial inequalities in health long before the 2005-2007 study of research data that revealed a pattern. Based on the studies they reviewed it became apparent that regardless of socioeconomic status, racial inequalities in health were present between minority groups for several health issues such as diabetes, hypertension, heart disease, and obesity.<ref name="auto2" /> This shows that health inequities can be alleviated by increasing socioeconomic status but they still persist at all levels. Research findings often lack racial or ethnic variables. A 2023 scoping review of the literature found that in studies involving multiracial or multiethnic populations, race or ethnicity variables lacked thoughtful conceptualization and informative analysis concerning their role as indicators of exposure to racialized social disadvantage. Racialized social disadvantage encompasses systemic and structural barriers, discrimination, and social exclusion experienced by individuals and communities based on their race or ethnicity, resulting in disparities in access to resources, opportunities, and health outcomes.<ref>{{Cite journal |last1=Cené |first1=Crystal W. |last2=Viswanathan |first2=Meera |last3=Fichtenberg |first3=Caroline M. |last4=Sathe |first4=Nila A. |last5=Kennedy |first5=Sara M. |last6=Gottlieb |first6=Laura M. |last7=Cartier |first7=Yuri |last8=Peek |first8=Monica E. |date=2023-01-19 |title=Racial Health Equity and Social Needs Interventions: A Review of a Scoping Review |url=https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2800612 |journal=JAMA Network Open |language=en |volume=6 |issue=1 |pages=e2250654 |doi=10.1001/jamanetworkopen.2022.50654 |issn=2574-3805 |pmc=9857687 |pmid=36656582}}</ref><ref>{{Cite web |last1=Cené |first1=Crystal W. |last2=Viswanathan |first2=Meera |last3=Fichtenberg |first3=Caroline M. |last4=Sathe |first4=Nila A. |last5=Kennedy |first5=Sara M. |last6=Gottlieb |first6=Laura M. |last7=Cartier |first7=Yuri |last8=Peek |first8=Monica E. |date=January 2023 |title=Racial Health Equity and Social Needs Interventions: Rapid Review |url=https://www.pcori.org/research-results/2021/rapid-review-racial-health-equity-and-social-needs-interventions}}</ref>

In addition, there is data that supports the fact that as health care has advanced worldwide overall there are more increases in health inequalities between races. One such study that supports this is "The Progress Toward the Healthy People 2010 Goals and Objectives" which is a review, done by members of the National Center for Health Statistics of the [[Centers for Disease Control and Prevention]] and the Center of Excellence on Health Disparities, [[Morehouse School of Medicine]], that explores progress towards improving the overall health quality and longevity of Americans and the health disparities between ethnic groups. To accomplish this they used a system of 31 measures to analyze the progress and disparities; which consisted of 10 leading health indicators (LHI), created by the Department of Health and Human Services, with a few objectives each for twenty two total and the remaining measures were formulated by the group who did the review.<ref name="auto3">{{cite journal |last1=Sondik |first1=Edward J. |last2=Huang |first2=David T. |last3=Klein |first3=Richard J. |last4=Satcher |first4=David |title=Progress Toward the Healthy People 2010 Goals and Objectives |journal=Annual Review of Public Health |date=21 April 2010 |volume=31 |issue=1 |pages=271–81 4 p folliwng 281 |doi=10.1146/annurev.publhealth.012809.103613| doi-access=free |pmid=20070194 }}</ref> The ten leading health indicators are: Physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, and access to healthcare; the group who did the review supplemented the leading health indicators with 7 more objectives and 2 more measures, infant mortality and life expectancy to give 31 in total.<ref name="auto3" /> They used these measures to track the disparities between Asians, Hispanic or Latino, Black Non-Hispanics, white non-Hispanic, American Indian or Alaskan Natives, and Native Hawaiians or Pacific Islanders; Data is not available for every ethnic group for all 31 measures. Using the available data for the objectives they have more than one time period on they found 6 objectives showed a decrease in disparity between ethnic groups and the national average while they found 18 disparity increases across 11 objectives.<ref name="auto3" />

This confirms that even as healthcare is advancing and new scientific discoveries are being made overall the disparities between ethnic groups are increasing. This is a trend that was noticed in the 1985 report and has continued through the time worsening its effects and contributing to greater health inequalities. It is possible for structural racism to hinder the health and longevity of minorities.


=== Relationship to agency ===
=== Relationship to agency ===
[[Structure and agency]] are opposites. [[Agency (sociology)|Agency]] is the idea that a person's life outcomes are due entirely, or significantly influenced by their own individual efforts. [[Social structure]] is the idea that life outcomes are due entirely, or significantly influenced by the individual's race, class, gender, social status, inherited wealth, legal situation, and many other factors that are outside the individual's control.
[[Structure and agency]] are opposites. [[Agency (sociology)|Agency]] is the idea that a person's life outcomes are due entirely, or significantly influenced by their own individual efforts. [[Social structure]] is the idea that life outcomes are due entirely, or significantly influenced by the individual's race, class, gender, social status, inherited wealth, legal situation, and many other factors that are outside the individual's control.


A society, even a [[race-blind|"colorblind"]] society, can be structured in a way that perpetuates racism and [[racial inequality]] even if its individual members do not hold bigoted views about members of other racial groups. Society can still effectively exclude racially disadvantaged people from decision-making or make choices that have a [[disparate impact]] on them.<ref>Bonilla-Silva, Eduardo. (2009) ''Racism without Racists: Color-Blind Racism and the Persistence of Racial Inequality in America''. Rowman & Littlefield Publishers, Inc. {{ISBN|9781442202184}}.</ref>{{Clarify|date=September 2016}}
A society, even a [[race-blind|"colorblind"]] society, can be structured in a way that perpetuates racism and [[racial inequality]] even if its individual members do not hold bigoted views about members of other racial groups. Society can still effectively exclude racially disadvantaged people from decision-making or make choices that have a [[disparate impact]] on them.<ref>Bonilla-Silva, Eduardo. (2009) ''Racism without Racists: Color-Blind Racism and the Persistence of Racial Inequality in America''. Rowman & Littlefield Publishers, Inc. {{ISBN|9781442202184}}.</ref> For example, a policy to give more money to rural schools and less to urban schools is [[Prima facie|facially]] neutral: on the face of it, the policy says nothing about race. However, if the rural and urban populations have significantly different racial proportions, then this policy would have a society-wide racial effect.


==References==
==References==

Latest revision as of 00:23, 17 November 2024

Societal racism is a type of racism based on a set of institutional, historical, cultural and interpersonal practices within a society that places one or more social or ethnic groups in a better position to succeed and disadvantages other groups so that disparities develop between the groups.[1] Societal racism has also been called structural racism, because, according to Carl E. James, society is structured in a way that excludes substantial numbers of people from minority backgrounds from taking part in social institutions.[2] Societal racism is sometimes referred to as systemic racism as well.[3] Societal racism is a form of societal discrimination.[4]

Background and importance

[edit]

According to James Joseph Scheurich and Michelle D. Young, racism can be categorized into five types:[5]

  • Overt racism, for example, when an individual says something racist
  • Covert racism, which is also an individual phenomenon
  • Institutional racism, which is when institutions treat people of different races differently
  • Societal racism
  • Civilizational racism

Structural racism is harder to detect because it requires data to be examined over time to determine how the set of institutional, historical, cultural, and interpersonal practices maintain racial inequalities over a period of time. However, structural racism is the most prevalent form of racism because of how it pervades every level of society by incorporating the institutional, historical, cultural, and interpersonal practices within a society that perpetuates racial inequalities, therefore evaluating society as a whole.[6]

White supremacy

[edit]

White supremacy can refer to societal racism or individual, formal racism related to the identity of white people.[7]

In the United Kingdom

[edit]

The use of the British word “chav” has been described as a form of "social racism".[8]

In the United States

[edit]
California Governor Gavin Newsom speaks in May 2020 about societal racism in the wake of the murder of George Floyd.

George M. Fredrickson has written that societal racism is deeply embedded in American culture and that in the 18th century, societal racism had already emerged with the purpose of maintaining a white-dominated society,[9] and that "societal racism does not require an ideology to sustain it so long as it was taken for granted".[10] When looking specifically at structural racism within the United States of America it is the formalization of practices that frequently put whites, or Caucasians, in a position of advantage while at the same time being consistently detrimental to people of color, such as African Americans, Hispanics, Native Americans, Pacific Islanders, Asians, and Middle Easterners. This position of advantage often entails: more opportunities to hold positions of power; privilege, white privilege; and superior treatment by institutions. This results in racial inequalities between whites and other ethnic groups which often manifest as issues of poverty or health disparities between the groups.[6]

Poverty

[edit]

The analysis of poverty levels, currently or over a period of time, across different ethnic groups can give an indication of, but do not imply, structural racism. The 2017 poverty guideline for the contiguous United States for a household of 3 is $20,460.00 according to the U.S. Department of Health and Human Services.[11] A household size of three was chosen since the average size in the United States is about three. Using the poverty guideline for a household size of three from the U.S. Department of Health and Human Services as a baseline to compare incomes by household in each ethnic group, one can see the trends and compare the groups. The table below is based on the 2017 U.S. census data and shows the poverty levels of the primary racial groups in the U.S.:[12]

At or below the

poverty limit

Between twice the poverty limit to

the poverty limit

Households with income over $100,000/year
Asian 12.6% 15.1% 41.7%
White 13.4% 20.3% 32.9%
Hispanic 18.1% 26.2% 19.8%
Black 26.8% 26.9% 16.1%

Compared to households who identify as white those who identify as Black or Hispanic have higher rates of poverty. Households who identify as Asian have lower rates of poverty as many immigrated after receiving job offers earned through their work and education background and Asians born in the United States have a high rate of post-secondary education, contributing to the model minority stereotype that causes distance between Asians and poorer ethnic groups. On the other hand, a significant number of Hispanics in the United States are or are descendent of recent immigrants that sought menial work in the United States and brought little or no wealth with them which would contribute to the income difference seen between Hispanics and others. Black households are twice as likely to be impoverished compared to white households. Hispanic households are about 35% more likely than white households to be at or below the poverty line. Both Hispanic and Black households are 35% more likely than white households to have an income between twice the poverty line and the poverty line. Asian households are 27%, 159%, and 110% more likely than White, Black, or Hispanic households, respectively, to have six figure incomes.

2017 median income graph by ethnicity from the U.S. Census Bureau website

The wealth gap between ethnic groups has existed throughout history. White households hold much greater levels of housing equity, business equity, and financial assets than Black and Hispanic households.[13] Married couples can accumulate wealth quickly through sharing resources. Black households are twice as often single adults compared to white households.[13] Poverty leads to health issues, less higher education, more high school dropouts, more teenage pregnancy, and less opportunities. Therefore, a large part of structural racism has to do with the cycle of poverty which makes it substantially harder for people and their descendants caught in the cycle to accumulate enough wealth to increase their income and capital gains.

Health inequities

[edit]

The cycle of poverty that structural racism could impose on minorities has adverse effects on their overall health, among other things. Health inequities can manifest as disparities in several aspects of health such as quality of healthcare, incidence and outcome of disease or disorders, life span, infant mortality, health and sexual education, exercise, and drug use. Furthermore, racism itself is thought to have a negative impact on both mental and physical health.

According to a paper that analyzed published research on PubMed from the years 2005–2007 on the connection between discrimination and health, there is an inverse relationship between the two; furthermore, the pattern is becoming more apparent across a greater variety of issues and data.[14] This study shows that this long known pattern has not disappeared. According to the 1985 Report of the Secretary's Task Force on Black and Minority Health by the U.S. Department of Health and Human Services in general Americans were getting healthier and had increased longevity but there is a persisting inequality between Blacks and other minority groups in the rate of death and illness contrasting to the overall population; furthermore, the report notes that this inequality has been around for more than a generation at this point or since better, more factual federal records have been kept.[15]

This is definitive proof that the federal government noticed these racial inequalities in health long before the 2005-2007 study of research data that revealed a pattern. Based on the studies they reviewed it became apparent that regardless of socioeconomic status, racial inequalities in health were present between minority groups for several health issues such as diabetes, hypertension, heart disease, and obesity.[14] This shows that health inequities can be alleviated by increasing socioeconomic status but they still persist at all levels. Research findings often lack racial or ethnic variables. A 2023 scoping review of the literature found that in studies involving multiracial or multiethnic populations, race or ethnicity variables lacked thoughtful conceptualization and informative analysis concerning their role as indicators of exposure to racialized social disadvantage. Racialized social disadvantage encompasses systemic and structural barriers, discrimination, and social exclusion experienced by individuals and communities based on their race or ethnicity, resulting in disparities in access to resources, opportunities, and health outcomes.[16][17]

In addition, there is data that supports the fact that as health care has advanced worldwide overall there are more increases in health inequalities between races. One such study that supports this is "The Progress Toward the Healthy People 2010 Goals and Objectives" which is a review, done by members of the National Center for Health Statistics of the Centers for Disease Control and Prevention and the Center of Excellence on Health Disparities, Morehouse School of Medicine, that explores progress towards improving the overall health quality and longevity of Americans and the health disparities between ethnic groups. To accomplish this they used a system of 31 measures to analyze the progress and disparities; which consisted of 10 leading health indicators (LHI), created by the Department of Health and Human Services, with a few objectives each for twenty two total and the remaining measures were formulated by the group who did the review.[18] The ten leading health indicators are: Physical activity, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, and access to healthcare; the group who did the review supplemented the leading health indicators with 7 more objectives and 2 more measures, infant mortality and life expectancy to give 31 in total.[18] They used these measures to track the disparities between Asians, Hispanic or Latino, Black Non-Hispanics, white non-Hispanic, American Indian or Alaskan Natives, and Native Hawaiians or Pacific Islanders; Data is not available for every ethnic group for all 31 measures. Using the available data for the objectives they have more than one time period on they found 6 objectives showed a decrease in disparity between ethnic groups and the national average while they found 18 disparity increases across 11 objectives.[18]

This confirms that even as healthcare is advancing and new scientific discoveries are being made overall the disparities between ethnic groups are increasing. This is a trend that was noticed in the 1985 report and has continued through the time worsening its effects and contributing to greater health inequalities. It is possible for structural racism to hinder the health and longevity of minorities.

Relationship to agency

[edit]

Structure and agency are opposites. Agency is the idea that a person's life outcomes are due entirely, or significantly influenced by their own individual efforts. Social structure is the idea that life outcomes are due entirely, or significantly influenced by the individual's race, class, gender, social status, inherited wealth, legal situation, and many other factors that are outside the individual's control.

A society, even a "colorblind" society, can be structured in a way that perpetuates racism and racial inequality even if its individual members do not hold bigoted views about members of other racial groups. Society can still effectively exclude racially disadvantaged people from decision-making or make choices that have a disparate impact on them.[19] For example, a policy to give more money to rural schools and less to urban schools is facially neutral: on the face of it, the policy says nothing about race. However, if the rural and urban populations have significantly different racial proportions, then this policy would have a society-wide racial effect.

References

[edit]
  1. ^ Lawrence, Keith; Keleher, Terry (2004). "Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities" (PDF). Poverty Outcomes: 24. Retrieved 28 November 2018.
  2. ^ James, Carl E. (8 February 1996). Perspectives on Racism and the Human Services Sector: A Case for Change (2nd Revised ed.). University of Toronto Press. p. 27.
  3. ^ Yancey-Bragg, N'dea (15 June 2020). "What is systemic racism? Here's what it means and how you can help dismantle it". USA Today. Retrieved 29 August 2020.
  4. ^ "Beyond Bakke: The Constitution and Redressing the Social History of Racism". Harv. C.R.-C.L. L. Rev. 8 March 2021. Retrieved 25 August 2024.
  5. ^ Scheurich and Young, James Joseph and Michelle D. (22 January 1991). William A. Smith; Philip G. Altbach; Kofi Lomote (eds.). The Racial Crisis in American Higher Education. State University of New York. ISBN 978-0791405215.
  6. ^ a b Lawrence, Keith; Keleher, Terry (2004). "Chronic Disparity: Strong and Pervasive Evidence of Racial Inequalities" (PDF). Poverty Outcomes: 24. Retrieved 28 November 2018.
  7. ^ Love, April (2022). "Recognizing, Understanding, and Defining Systemic and Individual White Supremacy". SSRN Electronic Journal. Elsevier BV. doi:10.2139/ssrn.4075353. ISSN 1556-5068.
  8. ^ https://web.archive.org/web/20081015162621/http://www.timesonline.co.uk/article/0,,7-1488120,00.html
  9. ^ Ray, George B. (1 May 2009). Language and Interracial Communication in the U. S.: Speaking in Black and White. Peter Lang. p. 7. ISBN 978-0820462455.
  10. ^ Fredrickson, George M. (30 June 1988). The Arrogance of Race: Historical Perspectives on Slavery, Racism and Social Inequality. Wesleyan University Press. p. 202. ISBN 978-0819562173.
  11. ^ "2017 Poverty Guidelines". ASPE. U.S. Department of Health and Human Services. 2018-01-12. Retrieved 4 December 2018.
  12. ^ "Income and Poverty in the United States:2017 REPORT NUMBER P60-263". United States Census Bureau. Retrieved 1 December 2018.
  13. ^ a b "Racial and Ethnic Differences in Wealth Holdings and Portfolio Choices". Social Security Administration Research, Statistics, and Policy Analysis. Retrieved June 17, 2021.
  14. ^ a b Williams, David R.; Mohammed, Selina A. (22 November 2008). "Discrimination and racial disparities in health: evidence and needed research". Journal of Behavioral Medicine. 32 (1): 20–47. doi:10.1007/s10865-008-9185-0. ISSN 1573-3521. PMC 2821669. PMID 19030981.
  15. ^ Heckler, Margret M. U.S. Department of Health and Human Services (1985). "Executive Summary" (PDF). Report of the Secretary's Task Force Report on Black and Minority Health. 1. Retrieved 2 December 2018.
  16. ^ Cené, Crystal W.; Viswanathan, Meera; Fichtenberg, Caroline M.; Sathe, Nila A.; Kennedy, Sara M.; Gottlieb, Laura M.; Cartier, Yuri; Peek, Monica E. (2023-01-19). "Racial Health Equity and Social Needs Interventions: A Review of a Scoping Review". JAMA Network Open. 6 (1): e2250654. doi:10.1001/jamanetworkopen.2022.50654. ISSN 2574-3805. PMC 9857687. PMID 36656582.
  17. ^ Cené, Crystal W.; Viswanathan, Meera; Fichtenberg, Caroline M.; Sathe, Nila A.; Kennedy, Sara M.; Gottlieb, Laura M.; Cartier, Yuri; Peek, Monica E. (January 2023). "Racial Health Equity and Social Needs Interventions: Rapid Review".
  18. ^ a b c Sondik, Edward J.; Huang, David T.; Klein, Richard J.; Satcher, David (21 April 2010). "Progress Toward the Healthy People 2010 Goals and Objectives". Annual Review of Public Health. 31 (1): 271–81 4 p folliwng 281. doi:10.1146/annurev.publhealth.012809.103613. PMID 20070194.
  19. ^ Bonilla-Silva, Eduardo. (2009) Racism without Racists: Color-Blind Racism and the Persistence of Racial Inequality in America. Rowman & Littlefield Publishers, Inc. ISBN 9781442202184.