Cited by 224Racial and Ethnic Identity ResearchPublic Health Policies and EducationGender, Health, and Social Inequality

The DOI matches its Crossref record; 76 of the 77 references it cites were found in a registry or an index.

Tackling racism as a “wicked” public health problem: Enabling allies in anti-racism praxis

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Came, Heather, Griffith, Derek·2018·Social Science & Medicine

Abstract

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 to intervene to address racism in public health is less developed. While the notion of raising awareness of racism through socio-political education is not new, given the way racism has morphed into new narratives in health institutional settings, it has become critical to support allies to make informing efforts to address racism as a fundamental cause of health inequities. In this paper, we make the case for anti-racism praxis as a tool to address inequities in public health, and focus on describing an anti-racism praxis framework to inform the training and support of allies. The limited work on anti-racism rarely articulates the unique challenges or needs of allies or targets of racism, but we seek to help fill that gap. Our anti-racism praxis for allies includes five core elements: reflexive relational praxis, structural power analysis, socio-political education, monitoring and evaluation and systems change approaches. We recognize that racism is a modifiable determinant of health and racial inequities can be eliminated with the necessary political will and a planned system change approach. Anti-racism praxis provides the tools to examine the interconnection and interdependence of cultural and institutional factors as a foundation for examining where and how to intervene to address racism.

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  1. Labelle, 2016, “Race” and racism: reflection on the power of words, Dir. Res. Policy Elimin. Racism, 7, 58

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Metadata

Authors
Came, H., & Griffith, D.
Affiliations
  • Auckland University of Technology (NZ)
  • Vanderbilt University (US)
Corresponding author
Came, Heather
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2018-02
Volume
199
Pages
181-188
ISSN
0277-9536 (ISSN-L)
OpenAlex
W2595397208
Cited by
224
References
77
Citations by year
2026: 31 · 2025: 18 · 2024: 26 · 2023: 26 · 2022: 42 · 2021: 35 · 2020: 20 · 2019: 15 · 2018: 9
FWCI
32.23
Type
journal article
Language
en
Open access
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Tuwhera (Auckland University of Technology) (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
  • Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
Keywords
racism, wicked problems, health disparities, systemic racism, allies, monitoring and evaluation, systemic change, racial inequity, public health interventions, New Zealand, United States
MeSH terms
Cooperative Behavior, Humans, New Zealand, Public Health, United States, Racial Groups, Health Status Disparities, Racism

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