Intersection Of Race Research Articles

Intersectionality of gender, race, social vulnerability and barriers to healthcare access: a study on the lives of people with HIV/AIDS

The article aimed to analyze the barriers and access to health and the processes of intersectionality of gender, race and social vulnerability in the lives of people with HIV/AIDS. This is an exploratory qualitative study that used semi-structured interviews as a way of producing data for analysis. The study was carried out in a municipal specialized care service in a capital in the Northeast of Brazil, which is responsible for the care of people living with HIV/AIDS, people with other Sexually Transmitted Infections and Viral Hepatitis, the study sample was composed of users monitored by the service, through saturation of responses, totaling 12 participants. In the analysis, two thematic categories were constructed. In general, the paths taken by these users, mainly related to the ways of producing care in the city studied, are understood as cycles surrounded by barriers and tortuous paths that occur daily, which produce deleterious effects for comprehensive care, and have as an element structuring that interferes with care, the intersectionality of gender, race and social vulnerability. Therefore, it is necessary to discuss the possibility of building transformations in acting and thinking that are socially structured so that new forms of care production relations are structured in which there is no exploitation or subordination of living beings, considering singularities, and therefore, health needs.

Identifying femicide using the United Nations statistical framework: Exploring the feasibility of sex/gender-related motives and indicators to inform prevention

According to the United Nations Office on Drugs and Crime, 55% of women and girls killed in 2022 died at the hands of intimate partners or family members, contexts indicative of femicide. The proportion of the remaining 45% of women and girls killed which involved sex or gender-related elements remains largely unknown. This is due to the lack of high-quality, gender-sensitive data collection tools and the few systematic efforts to more consistently and accurately document femicide. Information about femicide in marginalized and racialized communities is further affected because many of these deaths remain invisible in official data for women and girls who live – and die – at the intersections of race, poverty, ability, sexuality, and other social identities. Drawing from a recently released international statistical framework for measuring gender-related killings of women and girls, this article examines the presence of sex/gender-related motives and indicators in a Canadian sample, drawing data from publicly available information. Findings about the feasibility of documenting sex/gender-related motives and indicators generally and for specific groups of women and girls are discussed.

Abstract P169: Cardiovascular Disease Incidence Among Male Veterans by Sexual Orientation and Race

Introduction: Studies of cardiovascular disease (CVD) in sexual minority (SM) men (i.e., gay, bisexual) vs. heterosexual men are limited by small sample sizes and lack of objective CVD ascertainment. Small samples also hinder study at the intersection of race and sexual orientation on CVD events. We used the Veterans Healthcare Administration Lesbian, Gay, Bisexual, Transgender Electronic Health Record cohort to fill these knowledge gaps. Methods: We studied 919,404 male cisgender veterans who were free of prevalent CVD and classified as SM or non-SM by a natural language processing tool. We defined incident CVD as first instance of AMI, ischemic stroke, cardiac revascularization, or CVD death between baseline and date of death or 8/31/22. We stratified sample statistics by SM status and race. We used Cox proportional hazards regression to assess the intersection of sexual orientation and race with incident CVD; we adjusted for Hispanic ethnicity and age. Based on the minority stress model, non-SM White men were the referent. Results: Within races, traditional CVD risk factors were similarly distributed by SM status but SM men had greater prevalence of stress-associated characteristics like substance use, depression, and anxiety. Heterosexual, gay, and bisexual Asian men had lower CVD risk than non-SM White men, while Black/African American and Multiracial men had persistently increased CVD risk ( Table ). White and American Native gay men had increased CVD risk vs. non-SM White men. With the exception of Asians, all unclassified SM men had increased CVD incidence vs. non-SM White men. Risk was highest in among Black or Multiracial SM men. Conclusion: This is one of the first studies to examine the intersection of sexual orientation and race on CVD risk in male veterans. CVD risk appears increased or decreased in certain racial groups regardless of sexual orientation but this is not always true and invites further study into the mechanisms by which stress results in inequitable CVD events across groups.

Abstract P373: Psychosocial Risk and Resilience Profile in Rural Alabama: A Preliminary Analysis of Risk Underlying Rural Areas Longitudinal (RURAL) Study

Background: Given the disproportionate burden of cardiovascular disease risk and outcomes, there is an urgent need to understand the psychosocial drivers of these inequities. We characterized the psychosocial risk and resilience profiles of a cohort of rural-dwelling adults in the southeast U.S. Methods: This preliminary analysis includes 765 participants with complete covariate data (mean age 47.9 (SD=10.9), 70.7% self-reporting as women, 77.9% Black individuals, 41.4% with annual household income below $15,000; 43.7% possessing a high school diploma/GED or lower) residing in two rural counties in Alabama, part of the larger RURAL study. We evaluated participants across six crucial psychosocial domains: financial strain (continuous), financial adjustments (categorized as 0, 1-3, 4+), housing stability (tertiles), childhood adversity (including general, physical, and emotional trauma experienced before 18 years, categorized into tertiles), depression (measured using CES-D 16; yes/no), and resilience (measured using CD-RISC, categorized into tertiles). We examined the distribution of study outcomes and conducted race and sex-based comparisons. Results: Resilience was high overall and did not vary significantly by race or sex. Significant racial disparities were observed, with Black participants experiencing higher financial strain (mean: 2.84 Black vs. 2.34 White), housing instability (30.1% Black vs. 11.9% White), and elevated depressive symptoms (35.2% Black vs. 25.3% White). Conversely, White participants reported greater general trauma and depression (highest tertile: 17.8% Black, 23.8 % White for general trauma; 64.3% Black vs. 73.8% White for depression). Sex-based differences were statistically insignificant across most psychosocial factors, except for financial adjustments (highest tertile: 27.7% men vs. 36.0% women) and physical trauma (38.0% men vs. 22.0% women). When considering the intersection of race and sex, Black men had the highest prevalence of housing instability (highest tertile: 35.2% Black men, 27.8% Black women, 6.8% White men, 15.8% White women), and elevated depressive symptoms (35.8% Black men, 35% Black women, 15.3 % White men, 31.6% White women). White men had the highest prevalence of physical trauma (highest tertile: 35.8% Black men, 21.3% Black women, 44.1% White men, 25.3% White women), and White women had the highest prevalence of financial adjustments (highest tertile: 30.3% Black men, 33.9% Black women, 20.3% White men, 46.3% White women). Conclusion: Our preliminary analysis of the RURAL study underscores substantial psychosocial adversity in these Southern rural communities. Future investigations should explore the relationship between these psychosocial factors and CVD risk to help identify potential intervention targets to improve cardiovascular health in rural communities.

A Qualitative Exploration of How Black Mothers Experiencing Poverty Make Sense of the Strong Black Woman Stereotype

The strong Black woman (SBW) stereotype is a universal phenomenon understood and experienced by Black women. In this qualitative study, I examined how 16 Black women who are mothers make sense of the SBW stereotype, highlighting how their lived experiences of mothering children in high-burden urban neighborhoods and their experiences at the intersection of race, class, and gender, shape their understanding of the SBW stereotype. Using qualitative phenomenological methods and semi-structured interviews, thematic analysis of interview data revealed three main themes regarding the perception and experience of the SBW stereotype as: (a) ambiguous and contested expectations central to Black motherhood, (b) engenders a sense of loss, and (c) shapes the experience and expression of depression. Study findings support and extend a growing body of work linking the SBW stereotype to depressive symptoms and overall mental health among Black women. This study also highlights the importance of examining how Black women's intersectional identities and contexts, in this case place or where one lives, shape the experience and perception of the SBW stereotype. My hope is that clinicians develop a comprehensive and nuanced understanding of the SBW stereotype and its potential mental health effects for all Black mothers. Findings also suggest a need for clinicians, researchers, and policymakers to create empowering opportunities for Black mothers, especially those mothering in impoverished contexts, to express their authentic and whole selves in service of healing themselves, their families, and communities.

Impact of Race and Culture Assessments (IRCAs) in combatting anti-Black racism and reducing recidivism

The Gladue report, named after R. v. Gladue, is a landmark Supreme Court of Canada case which emphasizes the need to consider unique circumstances faced by Indigenous individuals when determining appropriate sentences. Given the overrepresentation of Black identities at all levels in the justice system, it is argued that the use of pre-sentencing reports referred to as Impact of Race and Culture Assessments (IRCAs), also needs to be comprehensively implemented for Black offenders in Canada. IRCAs are pre-sentencing reports that help sentencing judges better understand the effect of poverty, marginalization, racism, and social exclusion on the offender and their life experiences, and how those factors inform the circumstances of the offender, the offence committed, and the offender’s experience with the justice system. This is significant as it goes beyond a one-size-fits-all punitive justice system that has been ineffective in reducing recidivism. By recognizing the intersections of race, culture, and justice, IRCAs enable judges to make more informed decisions contributing to an equitable consequence for the accused. More importantly, we argue that the insights from IRCAs should be used to connect offenders with culturally reflective wraparound social services upon return into the community to address the root causes in areas of employment, education, and housing that gravitate people towards criminality. By acknowledging historical and systemic biases and tailoring supports to individual identities, life experiences, and community conditions, IRCAs have the potential to transform the criminal justice system through promotion of alternatives to custody that correlates with reductions in recidivism.

Beyond Bars: Toward Abolitionist Justice In Australia

This narrative examines the prevailing carceral system in Australia, with a specific focus on Queensland, Victoria, and the Northern Territory. Drawing on firsthand experiences and empirical data, the author challenges the efficacy of punitive measures and the proliferation of prisons as responses to social issues. Through case studies such as the Dame Phyllis Frost Centre in Victoria and Don Dale in the Northern Territory, the narrative underscores the disproportionate impact of incarceration on marginalised communities, particularly First Nations peoples and women. By interrogating the intersections of race, gender, and class within the criminal justice system, the narrative advocates for a paradigm shift towards abolitionist approaches. It explores alternatives to imprisonment, such as Participatory Defence, emphasising community empowerment and restorative justice principles. Ultimately, this narrative calls upon legal professionals and policymakers to engage in transformative justice practices and envision a future devoid of incarceration and punitive systems.

The Roots and Clinical Effects of Racial Bias in Medicine

In a growing society, healthcare has become an essential part of a country’s development, standard of living, and life expectancy. The past decade has seen unprecedented growth in both scientific and medical discoveries, leading to improved treatment plans and innovative treatments, yet there are some aspects of healthcare that remain stunted. Discrimination, particularly on the basis of race, is still prevalent and ingrained in the American healthcare system, leading to worsened patient outcomes for people of color and a discomfort with seeking medical care that disproportionately affects those in marginalized groups. This bias continues even into the education of healthcare providers, which perpetuates the cycle of prejudice in the medical field. While the intersection of racism in the medical field varies greatly and maintains its prevalence amongst different races, this dissertation focuses mainly on discrimination of Black patients in the American healthcare system. For further information on the effects of racial bias both abroad and amongst a wider variety of races, valuable resources can be found below the works cited in this review. The sources analyzed in this review are analytical and scientific, with little to no use of primary anecdotal evidence. While such an emotional topic as racism and how it affects patient care relies heavily on personal experience, these sources have confounded the feelings of many patients nationally and adapted them into a well-reviewed analysis of how those feelings reflect nationwide opinions. Furthermore, it includes historical papers detailing the foundations of the medical field and how it was developed in hand with racism. The following sections will include definitions of terminology surrounding the issue, information on the history that led to modern-day biases, the ways in which these biases are seen by patients, and how it affects their care. This will demonstrate the link between past practices and the discriminatory actions in the medical system currently. Furthermore, it will establish evidence that there are effects felt by patients of color as well as offer information on possible solutions to help better their treatment.

Black women's perspectives on bladder health: Social-ecological and life course contexts.

This paper explores Black women's perspectives on bladder health using a social-ecological conceptual framework and life course perspective. We conducted a directed content analysis of data from the Study of Habits, Attitudes, Realities, and Experiences (SHARE), a focus group study by the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium. Analysis was conducted on data from five focus groups and a member-checking session where all participants self-identified as Black or African American. Forty-two participants aged 11-14 or 45+ years reported life course experiences with their bladder. The intersection of race and gender was the lens through which participants viewed bladder health. Participants' accounts of their perspectives on bladder health explicitly and implicitly revealed structural racism as an explanatory overarching theme. Participants described (a) historically-rooted and still pervasive practices of discrimination and segregation, engendering inequitable access to quality medical care and public facilities, (b) institutional barriers to toileting autonomy in educational and occupational settings, promoting unhealthy voiding habits, (c) internalized expectations of Black women's stereotyped role as family caregiver, compromising caregiver health, (d) lack of reliable information on bladder health, leading to unhealthy bladder behaviors, and (e) potentially stress-related comorbid chronic conditions and associated medication use, causing or exacerbating bladder problems. Bladder health promotion interventions should address social-ecological and life course factors shaping Black women's bladder health, including social and structural barriers to accessing equitable health information and medical care.

Black Gay Men in Graduate Education: A Collaborative Autoethnography of Finding Black Queer Joy

In today’s sociopolitical climate, many marginalized communities face unique challenges and yet triumph in carving a pathway toward happiness and self-acceptance. Among those resilient individuals are Black gay men, who experience the intersectionality of race, gender, and sexuality, creating an array of experiences. This collaborative autoethnography explores the distinct hardship Black gay men face in graduate education while trying to find Black queer joy, particularly at predominantly white institutions (PWIs), where these programs can perpetuate institutional and systemic racism and homophobia. Through interviews, three themes emerged: a sense of belonging, battle fatigue, and finding joy. Elevating the experiences of Black gay men emphasizes the importance of recognizing intersectionality and inclusivity in institutional spaces for a more sustainable future.

An Intersectional Analysis of Precarity and Exploitation: Women and LGBTQIA+ Workers in Substate Neoliberal Systems

The intersection of gender and ethnicity or race lies at the root of structural discrimination and racist practices for accessing the labor market and in the workplace. This discrimination is particularly evident for women and LGBTQIA+ individuals who either belong to ethnic minorities or are migrants. However, numerous other social drivers (e.g., age, class, origins) and external factors (e.g., prejudices, gender‐based violence) further hinder their participation in the work domain and their attainment of fair labor conditions. This article explores how gender, ethnicity, and race intersect and operate with other conditions and factors to perpetuate the precarity and exploitation of women and LGBTQIA+ individuals who find themselves at the nexus of varied intersectional axes. The discussion centers around two neoliberal substate units in the Global North (South Tyrol, in Italy, and Catalonia, Spain) that register low unemployment rates and high rates of migration and that are home to historical, linguistic, and ethnic minorities. This empirical article provides for an informed debate on the lived experience of precarity and exploitation of women and LGBTQIA+ workers, and an analysis of how neoliberal substate units’ labor and gender policies could be reformed.

Britain’s Imperial Past and Contemporary Borders in Adichie’s Americanah and Zadie Smith’s ‘Fences’

Recent literary works draw attention to the multifaceted legacy of Britain’s imperial past, not only but including its impact on current UK border practices. The works of postcolonial and Black British authors illustrate especially strongly that the spatial epistemologies of empire are still prevalent in twenty-first century border debates. This article engages with Chimamanda Ngozie Adichie’s Americanah (2013) and Zadie Smith’s essay “Fences” (2016) as literary works that negotiate UK border practices both before and after Brexit. They draw attention to the intersections of empire, race, gender, and class in the recent resurgence of British bordering practices and emphasize the necessity to make visible both contemporary and historical borders in the UK in order to come to terms with the underlying colonial epistemologies of many border practices.

The three colors of humanity: Early Jewish race-making in 1 Enoch’s Animal Apocalypse

Over the past several decades since Frank Snowden published his seminal monograph Blacks in Antiquity, scholars have become increasingly interested in understanding the ethnic and racial frameworks deployed by ancient peoples. The intersections of race, color, and ethnicity in classical literature have long been debated, but ancient Jewish texts tend to be left out of these discussions. In this article, I first analyze 1 Enoch’s Animal Apocalypse against the backdrop of Hellenistic-era environmental theory to show that it displays early forms of race-making through its differentiation of colored bulls. Although leading commentaries offered by Nickelsburg and Tiller reject racial readings of the Animal Apocalypse’s colored bulls, Matthew Black’s commentary from the 1980s does not. I show that ancient Hellenistic conceptions of peoples’ color, ethnicity, and behaviors shaped by environmental determinism support Matthew Black’s framework for understanding the Animal Apocalypse’s use of color, namely his equating of Chapter 89’s black bull with Ham, contra Nickelsburg and Tiller. Second, I stress that the Animal Apocalypse’s schema of colored bulls reflects the view that all of humanity derives from white, red, and black ancestors and that this ordering of the three colors constitutes a hierarchal sequencing of humankind, classified into three different types of people in descending order.

Between World-Imagining and World-Making: Politics of Fin-de-Siècle Universalism and Transimperial Indo-U.S. Brotherhood

Abstract: Universalism has driven many imaginations of the world. From civilizational discourse to cosmopolitan ethics, universalism as an idea and ideal have mobilized various political units, social activism, and religious movements. This article introduces a hitherto neglected expression of religious universalism in the fin-de-siècle—Indo-U.S. brotherhood. Unlike other colonial Indian and U.S.-American connections, this alliance was designed to be ephemeral and rooted in the transimperial moment of rising U.S. power, rather than in anti-imperialism. The article traces the emergence, dispersion, and afterlives of transimperial Indo-U.S. brotherhood to reveal the politics of universalism, which involved processes of marginalization and unfolded around the intersection of gender, race, and religion. The article reorients us to move beyond the important discussion of “multiple universals” and to place ephemerality and exclusion at the center of our historical investigation of how universalism has shaped diverse world-imagination and world-making.

Racial Attitudes Towards Criminal Justice Policy

The present study examined the intersection of race and attitudes toward crime and criminal justice policies. Using the Kinder Houston Area Survey, findings revealed some surprising similarities, but also significant differences between the three largest racial categories sampled: Black/African American, Hispanic, and White. Political affiliation, social class, and educational attainment were the primary indicators of support/rejection toward attitudinal beliefs regarding crime and criminal justice policy (i.e., teachers carrying guns, death penalty, assault weapon bans). Political affiliation and education were paramount regarding whether teachers should carry guns on school grounds and implementing mandatory background checks. White and Hispanic republicans favored teachers carrying guns, while educated Blacks and Hispanics rejected this policy. At the same time, educated Blacks and Hispanics favored implementing mandatory background checks. Similarly, support and/or objection to the death penalty and banning assault weapons yielded interesting findings. Black, Hispanic, and White republicans advocated support for the death penalty, while simultaneous rejecting bans on assault weapons. Interestingly, only educated Blacks supported banning assault weapons. Participants' political party affilation influenced their attitudes toward these policies. These and other findings are discussed in relation to the extent to which race, sociodemographic characteristics, political, and residential placement shape beliefs about crime and criminal justice policy in one of Americas most racially and ethnically diverse metropolitan cities.

Intersectional discrimination and mental health inequalities: a qualitative study of young women’s experiences in Scotland

BackgroundIn 2021, Scotland became the first UK country to launch a Women’s Health Plan. This policy signals increasing commitment to broader ambitions surrounding gender equality in health. Research shows a connection between discrimination and health, representing a contributor to health inequalities. There remains sparse evidence on how certain groups experience discrimination that could be useful for policymaking. This research set out to address this evidence gap through exploring how discrimination shapes young women’s experiences of mental health and inequalities in Scotland.MethodsWe interviewed women aged 16-25 years (n=28), living in Scotland, UK, adopting an intersectional approach to recruitment and data analysis. We used a semi-structured topic guide to facilitate open discussion about discrimination and health. Transcripts were analysed by two researchers using Thematic Analysis and NVivo software.FindingsWe identified three themes that illuminate intersectional discrimination and the impact on mental health. The first outlines how experiences of discrimination in school, work and public spaces (and the anticipation of such) creates stress leading to mental health problems, particularly for participants from ethnic minority groups. The second highlights the lack of support for mental health, both at structural and interpersonal levels, which was viewed by young women as a form of intersectional discrimination, largely because of their gender and age. Finally, we developed a mid-level theory termed the ‘chain of dismissal’ that displays that for both physical or mental health symptoms, young women’s concerns are immediately “written off” as anxiety-related and in turn a natural attribute of young women. These themes show that discrimination has the potential to amplify mental health problems for young women and is a likely contributor to health inequalities.ConclusionsStructural disadvantages such as racism intersect with gender and age to compound the experience of discrimination for marginalised young women. To improve mental health and reduce health inequalities for young women, multi-level approaches are needed, with strong consideration of how the structural and cultural landscape as well as assumptions made by healthcare professionals have critical implications for young women’s health.

Extracting intersectional stereotypes from embeddings: Developing and validating the Flexible Intersectional Stereotype Extraction procedure.

Social group-based identities intersect. The meaning of "woman" is modulated by adding social class as in "rich woman" or "poor woman." How does such intersectionality operate at-scale in everyday language? Which intersections dominate (are most frequent)? What qualities (positivity, competence, warmth) are ascribed to each intersection? In this study, we make it possible to address such questions by developing a stepwise procedure, Flexible Intersectional Stereotype Extraction (FISE), applied to word embeddings (GloVe; BERT) trained on billions of words of English Internet text, revealing insights into intersectional stereotypes. First, applying FISE to occupation stereotypes across intersections of gender, race, and class showed alignment with ground-truth data on occupation demographics, providing initial validation. Second, applying FISE to trait adjectives showed strong androcentrism (Men) and ethnocentrism (White) in dominating everyday English language (e.g. White + Men are associated with 59% of traits; Black + Women with 5%). Associated traits also revealed intersectional differences: advantaged intersectional groups, especially intersections involving Rich, had more common, positive, warm, competent, and dominant trait associates. Together, the empirical insights from FISE illustrate its utility for transparently and efficiently quantifying intersectional stereotypes in existing large text corpora, with potential to expand intersectionality research across unprecedented time and place. This project further sets up the infrastructure necessary to pursue new research on the emergent properties of intersectional identities.

Intersectionality of Gender, Race, Class, Sexuality, Disability and Other Social Identities in Shaping the Experiences and Opportunities of Marginalized Groups in Ukraine

Purpose: The aim of the study was to investigate the intersectionality of gender, race, class, sexuality, disability, and other social identities in shaping the experiences and opportunities of marginalized groups.
 Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
 Findings: Intersectionality recognizes how various social identities intersect to shape the experiences of marginalized groups, acknowledging compounded disadvantages. For instance, a Black woman may face discrimination based on race and gender simultaneously, affecting her access to opportunities. This framework emphasizes considering intersecting identities in analyzing social issues and advocating for inclusive policies. It underscores the need for understanding the interconnected nature of oppression and inequality.
 Unique Contribution to Theory, Practice and Policy: Intersectionality theory, social identity theory & critical race theory may be used to anchor future studies on the intersectionality of gender, race, class, sexuality, disability, and other social identities in shaping the experiences and opportunities of marginalized groups. Organizations should adopt inclusive practices that recognize and value the diverse identities and experiences of individuals. Policymakers should design and implement policies that address the intersecting needs of marginalized groups

Intersectionality of Gender, Race, Class, Sexuality, Disability and Other Social Identities in Shaping the Experiences and Opportunities of Marginalized Groups in Ukraine

Purpose: The aim of the study was to investigate the representation and participation of women and gender minorities in various fields and domains.
 Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
 Findings: In recent years, progress has been made in increasing the representation and participation of women and gender minorities across various fields. Despite these advancements, gender disparities persist due to ongoing barriers such as discrimination and unequal opportunities. Efforts to promote diversity and inclusion through initiatives like gender quotas and mentorship programs are crucial in addressing these challenges and achieving true gender equality..
 Unique Contribution to Theory, Practice and Policy: Social construction theory, intersectionality theory & feminist theory may be used to anchor future studies on the representation and participation of women and gender minorities in various fields and domains. In practice, efforts are directed towards implementing strategies that promote diversity, equity, and inclusion in each domain. Policy interventions play a crucial role in institutionalizing and sustaining efforts to promote diversity, equity, and inclusion.

Examining Injustices: Transfusion Medicine and Race

Race and ethnicity are sociopolitical and not biological constructs, and assertions that these population descriptors have scientific meaning has caused significant harm. A critical assessment of the transfusion medicine literature is an important aspect of promoting race-conscious as opposed to race-based medicine. Utilizing current definitions and health equity frameworks, this review will provide a critical appraisal of transfusion medicine studies at the intersection of race and healthcare disparities, with a focus on larger methodological challenges facing the transfusion medicine community. Moving forward, risk modelling accounting for upstream factors, patient input, as well as an expert consensus on how to critically conduct and evaluate this type of literature are needed. Further, when using race and ethnicity in research contexts, investigators must be aware of existing guidelines for such reporting.