Cited by 189Racial and Ethnic Identity ResearchHealth disparities and outcomesGender, Health, and Social Inequality

The DOI matches its Crossref record; 130 of the 131 references it cites were found in a registry or an index; none of the 172 sources its claims cite is checked for support yet.

Racism and Health II: A Needed Research Agenda for Effective Interventions

Open access
Williams, David R., Mohammed, Selina A.·2013·American Behavioral Scientist

Abstract

This article reviews the empirical evidence that suggests that there is a solid foundation for more systematic research attention to the ways in which interventions that seek to reduce the multiple dimensions of racism can improve health and reduce disparities in health. First, research reveals that policies and procedures that seek to reduce institutional racism by improving neighborhood and educational quality and enhancing access to additional income, employment opportunities, and other desirable resources can improve health. Second, research is reviewed that shows that there is the potential to improve health through interventions that can reduce cultural racism at the societal and individual level. Finally, research is presented that suggests that the adverse consequences of racism on health can be reduced through policies that maximize the health-enhancing capacities of medical care, address the social factors that initiate and sustain risk behaviors, and empower individuals and communities to take control of their lives and health. Directions for future research are outlined.

Overview

Integrity signals

Registry

Crossref · 10.1177/0002764213487341

Cites

130 of 130 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

161 Not checked yet · 34 Own interpretation · 5 No basis given · 1 Own method

Verify all 172 references — free account

Show all 103 claims

  • It may state two separate claims as one. 91
  • Probably not a substantial claim. 10
98 of 98
  • The paper relies on this without support.

    Black students score lower than white students on standardized tests of reading, vocabulary, mathematics, intelligence, and scholastic aptitude.

    “Blacks score lower than whites on standardized tests of reading, vocabulary and math and on tests that attempt to measure intelligence and scholastic aptitude.”
  • The paper relies on this without support.

    In the early 20th century, black students in northern U.S. states outperformed most white immigrant students.

    “At that time, blacks in northern states out-performed most white immigrants.”
  • The paper relies on this without support.

    Many strategies to reduce implicit bias used in cognitive neuroscience are effective only in the short term, 24 hours or less.

    “A major limitation of many of the strategies to reduce implicit bias used in cognitive neuroscience is that they have been shown to be effective in the short term (24 hours or less).”
  • The paper relies on this without support.

    In most studies of implicit bias reduction strategies, participants did not engage in the strategy with the intent of reducing implicit bias.

    “in most of these studies, the participants did not engage in the strategy with the intent of reducing implicit bias.”
  • The paper relies on this without support.

    The military's rationalized hiring, promotion, and pay system increased minority representation and reduced wage gaps.

    “The military’s rationalized system of hiring, promotion and pay has been credited for increasing the representation of minorities and reducing wage gaps.”
  • The paper relies on this without support.

    Automated underwriting systems in credit applications improved approval rates for minorities.

    “the use of automated underwriting systems in evaluating credit applications improved the approval rate for minorities.”
  • The paper relies on this without support.

    Diversity training initiatives to reduce bias among managers and employers have little positive impact.

    “Studies find that diversity training initiatives to reduce bias among managers and employers have little positive impact.”
  • The paper relies on this without support.

    Practices that increase organizational accountability are effective in increasing representation of women and minorities.

    “practices that increase the accountability of the organization are effective in increasing representation of women and minorities.”
  • The paper relies on this without support.

    Intergroup contact that fails to meet stringent criteria can promote exceptionalist thinking and retention of negative categorical beliefs about the stigmatized group.

    “intergroup contact that fails to meet these stringent criteria can promote exceptionalist thinking with the stigmatized individual bieng viewed as different from the other members of his/her group, and with the retention of negative categorical beliefs about the stigmatized group.”
  • The paper relies on this without support.

    Most psychological interventions to reduce prejudice have focused on short-term effects, and it is unclear whether attitudinal changes are sustained over longer periods.

    “A major limitation of most of the psychological interventions to reduce prejudice is that they have focused on short term effects and it is not clear if these attitudinal changes are sustained over longer periods of time.”
  • The paper relies on this without support.

    American adults are very familiar with racism, presumably traditional racism.

    “American adults are very familiar with racism (presumably racism of the traditional type).”
  • The paper relies on this without support.

    Institutional discrimination leads to lower access to care, and cultural racism can combine with institutional processes to produce poorer quality care for stigmatized racial populations.

    “Institutional discrimination leads to lower levels of access to care and cultural racism can combine with institutional processes to produce poorer quality care for stigmatized racial populations.”
  • The paper relies on this without support.

    Health behaviors are important pathways linking racism and other basic causes to health outcomes.

    “Health behaviors are important pathways that link racism and other basic causes to health outcomes.”
  • The paper relies on this without support.

    Addressing and improving health behavior profiles can have a large impact on improving health.

    “Addressing and improving health behavior profiles can have a large impact on improving health.”
  • The paper relies on this without support.

    At the individual level, interventions addressing social and economic barriers to access to care, adherence, and healthy lifestyles lead to improvements in health.

    “At the individual level, interventions that address the social and economic barriers to access to care, to adherence to medical regimens and to living healthy lifestyles lead to improvements in health.”
  • The paper relies on this without support.

    Programs that enhance protective resources have been shown to be successful.

    “Programs that enhance protective resources (such as social support and problem-solving and stress-management skills) have also been shown to be successful.”
  • The paper relies on this without support.

    There is a growing body of research documenting co-occurrence of depression with chronic diseases like diabetes and hypertension.

    “There is a growing body of research that documents the co-occurrence of depression with chronic diseases like diabetes and hypertension.”
  • The paper relies on this without support.

    The majority of studies on behavioral vaccines focused on white and educated populations and have not been applied systematically to reducing disparities and negative effects of racism.

    “However, the majority of these studies have focused on white and educated populations and has not been applied in a systematic way to reducing disparities and reducing the negative effects of exposure to racism.”
  • The paper relies on this without support.

    Some cultural sensitivity training focusing on distinctive behavioral patterns of subgroups and failing to address implicit biases may enhance negative stereotypes and increase stereotyping and discrimination.

    “some cultural sensitivity training that focuses on the distinctive behavioral patterns of subgroups of the population and that fail to address implicit biases may enhance and accentuate negative stereotypes and thus lead to increased stereotyping and discrimination.”
  • The paper relies on this without support.

    Political support is relevant to the long-term sustainability of interventions.

    “Political support is also relevant for the sustainability of interventions over the long-term.”
  • The paper relies on this without support.

    An infrastructure to help reduce racism is needed.

    “Infrastructures that support the reduction of racism are also necessary.”
  • The paper relies on this without support.

    To seize chances to study natural experiments and policy changes with possible health effects, an infrastructure is needed to identify and fund such opportunities quickly.

    “Capitalizing on opportunities to evaluate natural experiments and policy changes that may have health consequences also requires an infrastructure for the rapid identification and funding of such opportunities.”
  • The paper relies on this without support.

    Creating the political conditions for racial and racism-related social change requires organized work to raise awareness of disparities and to communicate how racism produces and maintains them.

    “This will require systematic efforts to increase awareness of the extent of disparities and effectively communicate about the role of racism in creating and sustaining these inequities.”
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Citations

Cites

Show all 131 references

Research works printed but not linked: 12

  1. Almond D., 2006, Health effects of non-health policy, 1
  2. Balfanz R., 2012, Chronic absenteeism: Summarizing what we know from nationally available data
  3. Er-rafiy A., 2010, International Review of Social Psychology, 2, 57
  4. Evans G. W., 2011, Community Investments, 23, 22
  5. Fischer C. S., 1996, Race, ethnicity and intelligence. Inequality by design: Cracking the bell curve myth
  6. Jackson J. S., 1996, Ethnicity and Disease, 6, 132
  7. Jana S., 1999, Research for Sex Work, 2, 22
  8. Jencks C., 1998, American Prospect, 40, 44
  9. Lee S., 2008, Evidence-based programs to prevent children from entering and remaining in the child welfare system: Benefits and costs for Washington
  10. Lundell H. C., 2012, Health Communication
  11. Malat J., 2011, Ethnicity and Disease, 21, 349
  12. Papelbaum M., 2011, Diabetology & Metabolic Syndrome, 3, 1

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Metadata

Authors
Williams, D. R., & Mohammed, S. A.
Affiliations
  • Harvard University (US)
  • University of Washington Bothell (US)
Venue
American Behavioral Scientist
Published
2013-06-13
Volume
57
Issue
8
Pages
1200-1226
ISSN
  • 0002-7642 (ISSN-L)
  • 1552-3381
OpenAlex
W2144603842
Cited by
189
References
131
Citations by year
2026: 10 · 2025: 16 · 2024: 19 · 2023: 10 · 2022: 23 · 2021: 19 · 2020: 14 · 2019: 16 · 2018: 16 · 2017: 14 · 2016: 9 · 2015: 13 · 2014: 6 · 2013: 3
FWCI
32.00
Type
journal article
Language
en
Open access
Locations
  • American Behavioral Scientist (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • American Academy of Arts and Sciences
  • Harvard University
  • National Institute on Aging (R01AG038492, P01AG020166)
  • National Cancer Institute (P50CA148596)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
Keywords
racism, health disparities, institutional racism, cultural racism, health interventions, neighborhood quality, educational quality, access to resources, employment opportunities, health policy, health care, risk-taking, community empowerment, social determinants of health

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