Anti-racist Practices Research Articles

THE CARE SCENARIO IN PRIMARY HEALTH CARE FOR THE BLACK POPULATION

This research aims to analyze inequalities in access to health care for the black population in Primary Health Care (PHC) in Brazil, highlighting the impact of structural and institutional racism on care practices. The overall objective is to analyze the current scenario of care and health promotion in primary care for the black population. The research methodology was a qualitative and descriptive literature review. The research shows that PHC, although it is the gateway to the Unified Health System (SUS), often fails to equitably meet the needs of the black population, resulting in worse health and quality of life indicators. The conclusion points out that it is urgent to implement inclusive public policies and anti-racist practices, in addition to promoting the continued training of health professionals with a focus on the specificities of the health of the black population. The active participation of this population in the formulation of policies and the encouragement of research on their health conditions are essential to promote comprehensive and equitable health.

Supporting equitable and anti-racist practices in early childhood programs: a framework for starting differently

Research has found that as early as preschool, children from diverse backgrounds are more at risk than their peers to experience bias and racism from teachers and negative behavioral outcomes. Given these negative early childhood school experiences can create greater risk for children and more stress for their families, it is important that research is utilized to change such experiences and support more positive development outcomes for young children. The purpose of this article is to prevent an approach to organize and participate in school differently. Our approach involves developing equitable systems that supports early childhood centers to develop equitable systems by building upon the foundational principles of anti-racism, equity, and barrier prevention rather than seeking to intervene upon inequitable systems through professional development and attempting to remove barriers that have already caused harm as is with traditional approaches.

A PSA I’m here too: Exploring the Harmful Experiences of Black Students through Critical Narratives

The paper illustrates the digital narratives of 219 Black students within the K-12 educational setting of a large West coast state in the United States. The researchers employed the method of storytelling to analyze Instagram posts created by students, which aimed to shed light on the various forms of injustice experienced by Black students. These online contributions effectively revitalized the significance of Black students' narratives and encounters with racism. The authors posit that educational institutions should reconsider their approach to mitigating the negative consequences encountered by Black students within educational environments. The present study serves as a call to action for educators and stakeholders to confront systemic anti-Blackness and create inclusive educational environments that prioritize the well-being and success of all students. Through collective effort and a commitment to antiracist practices, we can work towards a more equitable and just educational system. Addressing objectification and Whiteness requires a comprehensive approach that surpasses individual actions. Educators must acknowledge the ramifications of racially insensitive behavior and its impact on Black students in K-12 environments.

Racial Equity, Diversity and Inclusion in Bioethics: Recommendations from the Association of Bioethics Program Directors Presidential Task Force

Recent calls to address racism in bioethics reflect a sense of urgency to mitigate the lethal effects of a lack of action. While the field was catalyzed largely in response to pivotal events deeply rooted in racism and other structures of oppression embedded in research and health care, it has failed to center racial justice in its scholarship, pedagogy, advocacy, and practice, and neglected to integrate anti-racism as a central consideration. Academic bioethics programs play a key role in determining the field’s norms and practices, including methodologies, funding priorities, and professional networks that bear on equity, inclusion, and epistemic justice. This article describes recommendations from the Racial Equity, Diversity, and Inclusion (REDI) Task Force commissioned by the Association of Bioethics Program Directors to prioritize and strengthen anti-racist practices in bioethics programmatic endeavors and to evaluate and develop specific goals to advance REDI.

Incorporating Anti-racist Principles Throughout the Research Lifecycle: A Position Statement from the Society of General Internal Medicine (SGIM).

Biomedical research has advanced medicine but also contributed to widening racial and ethnic health inequities. Despite a growing acknowledgment of the need to incorporate anti-racist objectives into research, there remains a need for practical guidance for recognizing and addressing the influence of ingrained practices perpetuating racial harms, particularly for general internists. Through a review of the literature, and informed by the Research Lifecycle Framework, this position statement from the Society of General Internal Medicine presents a conceptual framework suggesting multi-level systemic changes and strategies for researchers to incorporate an anti-racist perspective throughout the research lifecycle. It begins with a clear assertion that race and ethnicity are socio-political constructs that have important consequences on health and health disparities through various forms of racism. Recommendations include leveraging a comprehensive approach to integrate anti-racist principles and acknowledging that racism, not race, drives health inequities. Individual researchers must acknowledge systemic racism's impact on health, engage in self-education to mitigate biases, hire diverse teams, and include historically excluded communities in research. Institutions must provide clear guidelines on the use of race and ethnicity in research, reject stigmatizing language, and invest in systemic commitments to diversity, equity, and anti-racism. National organizations must call for race-conscious research standards and training, and create measures to ensure accountability, establishing standards for race-conscious research for research funding. This position statement emphasizes our collective responsibility to combat systemic racism in research, and urges a transformative shift toward anti-racist practices throughout the research cycle.

Environmental justice teaching in an undergraduate context: examining the intersection of community-engaged, inclusive, and anti-racist pedagogy

Since the early 1980s, the environmental justice (EJ) movement was critical in drawing much needed attention on how Black, Indigenous, People of Color (BIPOC), and low-income groups have experienced a disproportionate burden of environmental harms. This movement eventually formed the field of environmental justice, a multidisciplinary area of study that attempts to identify environmental injustices and provide theory and practice for their resolution. Despite the expansion of the EJ field and recent public attention, research shows that both EJ content knowledge and BIPOC students are isolated and excluded from Interdisciplinary, Environmental, and Sustainability (IES) programs within higher education. In addition, these studies have shown a relationship between EJ content and community-engaged practices with the inclusion of BIPOC students. This study sought to examine how and why EJ teaching and community-engaged pedagogies may be associated with inclusive or anti-racist practices by examining four faculty members teaching undergraduate EJ courses at four institutions. Using a multi-case study design, primary findings showed that faculty members held activist course objectives, which led to distinct community-engaged practices, such as the invitation of diverse guest educators, inclusion of readings from diverse authors, field experiences with EJ communities, and the integration of alternative ways of knowing that resist Eurocentric biases. The discussion and implications explore how these practices intersect with inclusive and anti-racist pedagogies, and provide recommendations for their implementation within the context of Environmental Studies and Sciences (ESS) in higher education.

Critical consciousness and anti-racist action as rooted in family processes.

Racially ethnically marginalized communities in the United States are exposed to structural and interpersonal forms of racism that have harmful effects on their health, wealth, education, and employment (Centers for Disease Control and Prevention, Racism and Health. https://www.cdc.gov/minorityhealth/racism-disparities/index.html, 2021). Although a plethora of research exists outlining these harmful effects, research examining how youth from diverse backgrounds effectively combat racism is lacking. Emerging research demonstrates that families may play a key role in the development of critical consciousness and participation in anti-racist actions (Bañales etal., Journal of Social Issues, 2021, 77, 964; Blanco Martinez etal., American Journal of Community Psychology, 2022, 70, 278; Lozada etal., Journal of Black Psychology, 2017, 43, 493). Yet, many key family processes have not been examined in relation to youth development of anti-racist practices. The current study included a sample of 327 racially ethnically diverse emerging adults (Mage = 18.80, SD = 1.28, range = 18-25), and explored the association between ethnic-racial socialization (cultural socialization, preparation for bias) and youth critical consciousness (reflection, motivation, action) and anti-racist (interpersonal, communal, political change) actions, and how familism values impact these associations. Results found that ethnic-racial socialization was positively associated with all aspects of critical consciousness and anti-racist actions. Results also found that familism significantly interacted with ethnic-racial socialization to predict some aspects of critical consciousness and anti-racist actions, but not others. Implications of the findings and future research directions are discussed.

Gender and Sexuality Center Professionals' Narrative Accounts of Racialized Institutional Resistance to Anti-Racism Work

Abstract: Using data from a narrative study investigating the experiences of 20 gender and sexuality center (GSC) practitioners, this study examined how professionals described the racialized nature of institutions and its influence on their engagement with anti-racist practices. Findings revealed how participants perceived the foundations of GSC work as grounded in whiteness, how resources upheld whiteness, and the impacts of racialized organizations on professionals across racial identity. We provide implications for research and practice, arguing that a major contribution is to consider how the racialized nature of organizations of higher education is intricately connected to other forms of marginalization (e.g., queer and trans oppression).

"Lord Knows What's Being Done with My Blood!": Black Women's Perceptions of Biospecimen Donation for Clinical Research in the United States.

Black women are underrepresented in clinical research and clinical trials. Knowledge gaps lead to biased clinical practice and care. There is a small but growing body of literature on Black women's perceptions about participation when biospecimen donation is sought by researchers. This is the first known study to investigate willingness to participate in clinical research involving biospecimen donation among Black women of reproductive age in the United States. This cross-sectional study recruited 496 Black women (ages 18-49) from a research crowdsourcing platform. Participants completed a 46-item online survey which asked about their willingness to provide blood samples for clinical health research and reasons for their willingness or for any unwillingness. Descriptive statistics and thematic analysis method were used to analyze the data. Less than half (44%) of participants reported willingness to provide blood samples for clinical research. The most common concerns of those expressing unwillingness to provide samples were "fear of blood sample being misused" and "distrust with the health researchers handling the samples." We identified six qualitative themes from the analysis of participants' open-ended responses. The most important factors include a desire for integrity and transparency in research, institutional racism contributing to mistrust, and adequate compensation and clearly defined benefits to participation. The recruitment and engagement of Black women in clinical biospecimen research should involve transparent, trustworthy, and anti-racist practices and informed respect for Black women's autonomy. There is a need to address Black women's concerns about exploitative profits and mistrust of academic and medical institutions.

Transnational Black feminism: L.O.V.E. as a practice of freedom, equity, and justice in English language teaching

AbstractThis article contributes to the TESOL paradigm by highlighting ways in which bodies of Black feminist thought, transnational feminism, and transnational Black feminism endeavors antiracist practices and support students via English language teaching (ELT). The author utilizes the Transnational Black feminist (TBF) framework—intersectionality, scholar activism, solidarity building, and attention to borders and boundaries—to guide the article. The author provides definitions for racial equity and racial justice and explains what these terms mean in practice when adopting the TBF lens in the English language classroom. The article shows how racial equity and racial justice can be effectively incorporated with a method of L.O.V.E. (Lifting others, Offering support, Valuing others, and Evolving self) that embodies the work of TBF.

What’s With All This Race Talk Anyway? A Literature Review on Antiracist Education

This article reviews the developing literature on antiracist education and the emerging frameworks for recognizing racism in educational spaces. Much of the literature draws on Critical Race Theory as the underlying framework to conceptualize race and racism. Many scholars emphasize the need for antiracist practices in K-12 education. There was, however significant research evidence that suggested a gap between antiracist pedagogy and knowledge and the actual implementation into everyday teaching practices. The review also found evidence of suggested strategies and frameworks teacher education programs and school division professional development should do to help aid the implementation of antiracist education in schools and classrooms. Evidently, the review points to the importance for faculty to self-reflect on their experiences with race. I conclude with an invitation to recognize and understand how to can show up as an antiracist educator, today, tomorrow and for the future. Keywords: race, racism, antiracist education, critical race theory, racialized students

Health Equity as a Guide for Urban Planning

Urban planning has struggled to establish a consensus on what “good” planning looks like and instead grapples with balancing competing planning priorities and perspectives. This paper proposes that planners and planning scholars look to health equity as a guiding “north star.” We justify this proposal by reviewing scholarship at the intersection of planning and public health. Drawing from empirical and theoretical work linking urban planning, health, and social equity, we recommend planners adopt participatory and anti-racist practices; implement cross-sectoral strategies beyond the professional boundaries of urban planning or public health; and learn from diverse data sources, research methods, and geographic contexts.

Colorblind racial ideology as an alibi for inaction: Examining the relationship among colorblind racial ideology, awareness of White privilege, and antiracist practices among White people

AbstractThis study examines the relationship among White antiracism, colorblind racial ideology (CBRI), and White privilege awareness. We use Critical Race Theory (CRT) to frame the historical context of racism in the U.S. and the emergence of racist ideologies. We examine the extent to which White privilege awareness mediates the relationship between CBRI and antiracist practices among White people. We found that (1) participants’ antiracist practices were increased the more they rejected power‐evasive forms of CBRI, (2) people who were more aware of their White privilege were also more driven toward antiracist practices, and (3) respondents’ awareness of their White privilege was enhanced as they rejected power evasive forms of CBRI. We also found that White people were more likely to participate in antiracist practices when they rejected power evasion CBRI partly because rejecting CBRI enhanced their awareness of White privilege. Our results suggest that the fight against racism requires White people to acknowledge and dismantle the privileges that come with being a member of a dominant group. We contend that CRT is a powerful framework for psychology because it helps resolve the problem of understanding how structural phenomena become ideologies that shape the way people believe and behave.

From intention to action: Assessing need and creating a JEDI toolkit for individuals teaching cancer genetics curriculum.

The effects of systemic racism persist in cancer care and contribute to disparities. Recent publications have shown that injustices and biases continue to affect the field of genetic counseling in the form of microaggressions, barriers to entry, and disparate patient care. Toolkits are one method that can be used to incorporate anti-racist practices to address this need. We sought to identify the current state of coverage of Justice, Equity, Diversity, and Inclusion (JEDI) topics during cancer genetics training across genetic counseling training programs (GCTPs) and utilize this information to create a novel toolkit that would support integration of anti-racist pedagogy into formal genetic counseling curricula. To accomplish this aim, recent learners and program directors/cancer course instructors were surveyed using two novel surveys. The survey responses, which helped to identify the frequency and manner of incorporation of JEDI topics into cancer curricula in GCTPs, led to the development of an educational toolkit. Recent learners and instructors/program directors identified multiple content areas within cancer genetic training in which they felt incorporating JEDI topics would be desired. A toolkit to support the incorporation of anti-racist teaching and practices into cancer genetics training in GCTPs was created. This toolkit can be adapted to focus on topics relevant to the care of other marginalized identities and to support the learning of other healthcare providers receiving cancer genetics education.

A National Evaluation of Social Justice and Antiracism Within School Psychology Graduate Preparation Programs

As school psychologists, we have an ethical responsibility to engage in social justice and antiracist action. Specifically, graduate education programs have a significant role to play in preparing future school psychologists as social justice change agents. To facilitate effective change, graduate educators must confront potential biases in university training programs and themselves, act in culturally affirming ways, and commit to using psychological science to prepare future school psychologists to engage in advocacy and combat systemic racism within youth-serving systems. The purpose of this study, therefore, was to explore training efforts aimed at promoting social justice, antiracism, and multiculturalism consistent with best practices within school psychology training programs. Additionally, this study aimed to identify how programs and individual faculty members were responding to increasing calls for racial justice and social justice and the impact of the “dual pandemics” of COVID-19 and racism on their training efforts. Finally, the researchers sought to identify facilitators and barriers to training and pedagogy focused on social justice, antiracism, and multicultural issues in graduate psychology training programs. Impact Statement As graduate educators, we must examine the extent to which school psychology graduate preparation programs are using the multicultural, social justice and antiracist practices recommended in the literature. With proper training, school psychologists wield significant power in dismantling structural oppression and praxis in schools and strengthening the adoption and implementation of culturally relevant academic and social-emotional and behavioral supports. However, social justice awareness, knowledge, skills and dispositions need to be explicitly taught and cultivated as areas of competency. Graduate educators and accrediting bodies should focus on improving the quality of preservice training for school psychologists so they may successfully navigate the myriad challenges associated with systemic change and act as effective change agents in bringing about racial and social equity in schools. This study provides a snapshot of graduate training efforts in these areas to help in identifying current practices, needs, strengths and future directions for the field.

Race Matters: A Family–Educator Antiracist Curriculum Collaboration

ABSTRACT Systemic institutional racism in schools engenders different and difficult educational experiences for students of Color. Relatedly, there is an enduring divide between home and school that often influences school curricula, teachers’ pedagogies, and students’ educational progress. Considering this preclusion to learning, this case study gleans insight from a K-5 urban elementary school that partnered families and educators in an antiracist curriculum collaboration. Utilizing tenets of critical race theory and community cultural wealth, three salient themes emerged: (1) centering family voices and experiences, (2) calling for more antiracist practices and curricula, and (3) moving beyond the racist/not racist binary. We conclude with recommendations for schools engaging in antiracist work with family members.

Face Ourselves: Striving for Antiracism in a Non-Profit

Advancing racial equity in workplaces requires ongoing and structural change. Organizations invested in this work need to view equity not as a checkbox, but as a continuous process of examination and change to organizational culture (Winters, 2020). In 2014, The Leadership Academy, a national education non-profit, began their journey to becoming an antiracist workplace. Through participatory action research methods, we focused on dismantling inequities and building empowerment, being iterative, and spurring staff’s greater awareness and action. Our journey has been undergirded by core elements of participatory research. We anchored ourselves in a commitment to supporting varying interests, perspectives, and styles of communication and participation. Here, we share what we produced and the practices we used, supported by lessons learned across our journey. We changed strategic plans, policies, and guiding values to be overtly antiracist, and we did so by supporting the voices and experiences of staff of color and spurring more involvement and accountability among white staff. These practices included affinity spaces, balancing small workgroups with whole-group discussions, and asynchronous work options. External facilitators were instrumental in helping us disrupt the structures and processes embedded in our organization; they held a mirror so we would truly face ourselves. We learned critical lessons about transparency, change management, flexibility, and relationships. Our antiracism journey at The Leadership Academy will never be done. Our dedicated, participant-led efforts yielded substantial shifts. We are eager to continue learning and pursuing deeper antiracist practices.

The mental health and substance use treatment experiences of racially and ethnically minoritised women who have experienced sexual violence.

The mental health and substance use treatment experiences of racially and ethnically minoritised women who have experienced sexual violence is not well understood. To address this we conducted a systematic review and meta-synthesis of qualitative studies. Our search strategy included electronic searches of 18 databases and grey literature, citation tracking and reference list screening. Studies were eligible if they presented qualitative data from racially and/or ethnically minoritised women or girls, who had experienced sexual violence at any age and described their experiences of receiving treatment from statutory mental health and/or substance use services. Studies were analysed using meta-ethnography. Fourteen papers based on 12 individual studies were included. Analysis developed three main themes: (1) understanding minoritised women holistically, (2) processing the trauma and beginning the healing and (3) the need for social connectedness and empowering relationships. For minoritised women to benefit from treatment, mental health and substance use services need to challenge the dynamics of the multiple traumas minoritised women experience. Knowledge and understanding of the racial trauma minoritised women experience is limited and many are subjected to further harm from racist practices occurring in some treatment services. Offering culturally safe, trauma-informed care which promotes anti-racist practices may help improve mental health and substance use service responses to minoritised women who have experienced sexual violence.

Affirming Black Joy & homeplace: a call to action for practitioner preparation programs

ABSTRACT Despite growing discussions of antiracist practices and policies in PK-20 schools, education tends to critique racist structures without providing solutions that bring into the conversation the lived experiences of Black students, families, and communities. While these critiques may be helpful, we suggest these critiques omit practices and policies that attend to how education could become a homeplace that affirms Black Joy. In order to realize the affirmative possibilities of homeplace, we argue that more attention is needed toward practitioner preparation programs as training sites for building out education as a location for Black Joy. We discuss the current context of preservice teacher and counselor education training and provide tenets of Black Joy and homeplace that can serve as guideposts for more complete critical accounts of antiracism.

Deploying Social Innovation Models for Anti-Racist Practices: Lessons from Homelessness Research in Los Angeles

Deploying Social Innovation Models for Anti-Racist Practices: Lessons from Homelessness Research in Los Angeles