Reading- Talamaivao et al. - Racism and Health in Aotearoa NZ; A Systematic Review of Quantitative Studies

Question 1

o Racism has been firmly established as an

Answer 1

important determinant of health and an underlying cause of ethnic health inequities in Aotearoa NZ and internationally.

Question 2

o Racism

Answer 2

an organised system of oppression involving the social construction and valuing of racial/ethnic groups based on ideologies of superiority and inferiority which serves to privilege some groups over others

Question 3

o Racism contributes to

Answer 3

health inequalities

Question 4

o Internalised racism

Answer 4

involves attitudes, beliefs or ideologies often founded on understandings of supposedly innate superiority and inferiority that may be held by members of dominant social groups and/or oppressed ones.

Question 5

o Interpersonal racism

Answer 5

refers to racism between people with varying degrees of frequency and intensity including manifestations from racially motivated assault to verbal abuse, ostracism and exclusion

 Reflects the direct experience of individuals within the organised system of racism that operates within a colonised society
 Interpersonal racism can impact negatively on health in multiple ways such as a chronic stressor and experience of unfair treatment

Question 6

o System, structural or institutional racism

Answer 6

involves the production control and access to material, informational and symbolic resources within societal institutions, law, policies and practises
 It’s been posited that structural racism is the most powerful way racism impacts population health
 This acknowledges how deeply embedded social structures in society are and how they ultimately determine the inequities arising from unequal access to the wide range of factors that drive health

Question 7

o The systematic review confirms that

Answer 7

quantitative research on racism and health in NZ generally shows experience of racial/ethnic discrimination to be linked to poorer health outcomes .
o This is consistent with international evidence

Question 8

o It is clear that experience of racism is a determinant of health that has a

Answer 8

negative mpact across a broad range of health outcomes in NZ. Additionally, indigenous and minoritized ethic groups are significant more likely to experience racial discrimination than the dominant NZ european group.