Social Exclusion & Race Flashcards

1
Q

Relationship between Race and Health

A
  • life expectancy of both sexes is higher for white vs all other races and black
  • “Naturalizing” social differences and reproducing racist assumptions
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2
Q

What is Race?

A
  • a social and political construct that is used to distinguish between and rank different groups of people on the basis of physical characteristic (such as skin colour)
  • social category that captures differential access to power and resources in a society
  • distinct from “ethnic group”
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3
Q

Biology and Race

A
  • no biological basis
  • repeated observation of systematic differences in health between radicalized groups
  • genetic variation doesn’t correspond to differences in ‘race’
  • “individuals from different populations can be genetically more similar than individuals from the same population” (Witherspoon et al. 2007)
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4
Q

What is Racism?

A
  • a set of false beliefs and practices that asserts the natural superiority of one group over another based on biological differences
  • ideology of inferiority that categorizes, ranks, and differentially allocates societal resources to socially defined “races”
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5
Q

Structural Racism

A

operates at an institutional level and involves processes and policies that favour dominant

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6
Q

Radicalization is…

A

the social and political processes through which hierarchies based on ‘race’ are constructed and reinforced

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7
Q

“Race” to Racism

A
  • Shift the focus from the view that race is a characteristic of individual and towards the idea that race is a social product
  • social construction= material effects
  • racialized groups are treated as inferior by the culturally dominant group
  • needs to be accounted for in policy (effects health and housing inequities)
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8
Q

Race as an SDoH

A
  • social exclusion
  • inequitable distribution of opportunities and resources (e.g. housing, jobs, education, income, safe neighbourhoods), as well as risk (incarceration, violence, discrimination)
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9
Q

Social Exclusion is…

A
  • inequality among groups in society
  • structure access to critical resources that determine the quality of membership in society and ultimately produce and reproduce a complex of unequal outcomes
  • difference is used to justify exclusion
  • some people are treated with less dignity
  • patterns of inequality and oppression create division and resentment fed by injustice and suffering
  • effects life in communities, workplaces, schools and other social institutions
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10
Q

Aspects of Social inclusion (4 subgroups)

A
  1. Exclusion from civil society (through legal sanction or other institutional mechanisms)
  2. Failure to provide for the needs of particular groups
  3. Exclusion from social production
  4. Economic exclusion from social consumptions
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11
Q
  1. Exclusion from civil society (through legal sanction or other institutional mechanisms)
A
  • Disconnection from civil society and political participation
  • Systemic forms of discrimination based on race, ethnicity, gender, disability, sexual orientation or religion
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12
Q
  1. Failure to provide for the needs of particular groups
A
  • Denial of social goods such as accommodations, income, security, language services
  • Denial of sanctions to deter or counter discrimination
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13
Q
  1. Exclusion from social production
A

-Denial of opportunities to contribute to or to participate actively in society’s social and cultural activities as full citizens

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14
Q
  1. Economic exclusion from social consumptions
A

-Exclusion of consumption

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15
Q

What is privilege?

A
  • “invisible backpack” of tools that makes it easier to move through life
  • “As a white person, I realized that I had been taught about racism as something that puts others at a disadvantage, but had been taught not to see one of it corollary aspects, white privilege, which puts me at an advantage.” (McIntosh)
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16
Q

SDoH’s that include social exclusion…

A
  • Indigenous ancestry
  • Disability
  • Early life
  • Education
  • Employment and working conditions
  • Food security
  • Gender
  • Geography
  • Health care services
  • Housing
  • Immigrant status
  • Income and it’s distribution
  • Race
  • Social safety net
  • Unemployment and employment security
17
Q

Social Exclusion and Neoliberalism

A
  • worsens social exclusion
  • commodification and privatization of public goods
  • weaker social safety net
  • limited state intervention to combat discrimination
  • burden of change on the individual to succeed in the free market
18
Q

Social Exclusion Framework

A
  • challenges the ideology of personal failure

- looks at additional factors that affect our ability to participate/succeed in the free market

19
Q

Racism as a SDoH

A
  • effects access to material resources
  • income, housing, education, & health services
  • “radicalization of poverty”
  • racial profiling effects criminalization and incarceration
  • source of stress and hypertension
  • In Ontario, South Asian (30%) and Black (31%) individuals have highest levels of hypertension (compared to 21% in general population)
  • psychosocial effects
  • institutionalized racism in healthcare systems
20
Q

Radicalization of Poverty

A

-In Canada, racialized group members (people of colour) 2-3 times as likely to be poor as white Canadians
-higher for recent immigrants, women, youth and seniors (intersectionality)
-higher than average
unemployment
-lower wages
-discrimination in the workplace
-higher rates of precarious work

21
Q

Residential Segregation

A
  • geographic segregation
  • historical patterns shaped by legal segregation and social structure
  • accumulation of poor “inner city” neighbourhoods and “white” suburbs
  • discrimination when trying to access housing loans
22
Q

Redlining: “The House You Live in”

A

FHA in 1930s used appraisal system where real estate values determined by presence of non-white families – “redlined” neighbourhoods

23
Q

Toronto’s Segregated Ethno-Cultural Population, 2016

A
High Income Neighbourhoods
-568,000 people
-23% census tracts
-$102,000 average income
Middle Income Neighbourhoods
-757,000 people
-29% census tracts
-$49,000 average income
Low Income Neighbourhoods
-1,368,000 people
-48% of census tracts
-$32,000 average income
White= 49%
South Asian= 13%
Chinese= 11%
Black= 9%
Other minorities= 19%
24
Q

How residential segregation affects population health?

A
  • Limited economic and educational opportunities
  • Fewer options for healthy ‘choices’
  • Environmental hazards
  • Higher violent crime rates
  • Influences access to resources, geography, etc.
  • Discrimination acts as a stressor that influences mental and physiological health, including through hypertension
  • Discrimination in healthcare systems acts as additional stressor and effects what care is received
  • NEED MORE INFO