Abstract

The concept of “race” emerged in the 1600s with the trans-Atlantic slave trade, justifying slavery; it has been used to justify exploitation, denigration and decimation. Since then, despite contrary scientific evidence, a deeply-rooted belief has taken hold that “race,” indicated by, e.g., skin color or facial features, reflects fundamental biological differences. We propose that the term “race” be abandoned, substituting “ethnic group” while retaining “racism,” with the goal of dismantling it. Despite scientific consensus that “race” is a social construct, in official U.S. classifications, “Hispanic”/”Latino” is an “ethnicity” while African American/Black, American Indian/Alaska Native, Asian/Pacific Islander, and European American/White are “races.” There is no scientific basis for this. Each grouping reflects ancestry in a particular continent/region and shared history, e.g., the genocide and expropriation of Indigenous peoples, African Americans' enslavement, oppression and ongoing disenfranchisement, Latin America's Indigenous roots and colonization. Given migrations over millennia, each group reflects extensive genetic admixture across and within continents/regions. “Ethnicity” evokes social characteristics such as history, language, beliefs, customs. “Race” reinforces notions of inherent biological differences based on physical appearance. While not useful as a biological category, geographic ancestry is a key social category for monitoring and addressing health inequities because of racism's profound influence on health and well-being. We must continue to collect and analyze data on the population groups that have been racialized into socially constructed categories called “races.” We must not, however, continue to use that term; it is not the only obstacle to dismantling racism, but it is a significant one.

Highlights

  • AND OVERVIEWRacism is a public health crisis requiring bold action on many fronts

  • We propose that the term “race” be abandoned, substituting “ethnic group” while retaining “racism,” with the goal of dismantling it

  • Today “race” continues to reinforce false and weaponized notions of inherent biological differences based on physical appearance

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Summary

AND OVERVIEW

Racism is a public health crisis requiring bold action on many fronts. One of those fronts, perhaps surprisingly, is semantic and conceptual in nature; this does not, mean that the issue is unimportant or abstract. We propose continued use of the terms African American/Black, American Indian/Alaska Native, Asian American, European American/White, Latino/Hispanic, Native Hawaiian/Other Pacific Islander, but explicitly denoting them as ethnic groups, reflecting geographic origin and ancestry, not “races,” which intrinsically connotes biological differences. All of these terms denote geographic ancestry in a particular continent or other large region of the world and the shared history and language, beliefs, and/or customs that often accompany geographic ancestry. We further examine the concept of “race,” how it has been used, and the implications

THE CONCEPT OF RACE
RACISM AND ITS EFFECTS ON HEALTH
CONCLUDING REMARKS
Full Text
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