Social Construction Of Race Research Articles

Predictors of Post-Acute Sequelae of COVID-19 in a Diverse Urban Population.

Post-acute sequelae of SARS-CoV-2 infection (PASC) are ongoing, relapsing, or new symptoms present at least 3 months after infection. Predictors of PASC, particularly across diverse racial and ethnic groups, remain unclear. Assess the prevalence of PASC 1 year after infection, examining differences in PASC prevalence by the social construct of race. Retrospective observational cohort study. In total, 863 adults aged 18 years or older, who were assessed for COVID-19 at two hospitals in New York City during the first two waves of the pandemic (March to July 2020 and January to March 2021). Prevalence of self-reported PASC, including its respiratory and neurological phenotypes. Data were gathered via telephone surveys conducted 11-15 months following diagnosis. Logistic regression models were used to identify predictors of PASC. In total, 54.1% of those diagnosed with COVID-19 reported PASC symptoms 1 year after infection. Racial and ethnic disparities in the prevalence of PASC varied by PASC phenotype and by the time of initial diagnosis (Wave 1 versus Wave 2). Asian adults had significantly lower odds of reporting any PASC compared to White adults (AOR = 0.55, p=0.02), particularly for neurological symptoms (AOR = 0.5, p=0.01). Black adults had significantly higher odds of reporting respiratory PASC (AOR = 2.67, p<0.001) and lower odds of neurological PASC (AOR = 0.54, p=0.02). Females had higher odds of respiratory (AOR = 1.45, p=0.04) and neurological PASC (AOR = 1.45, p=0.02). Loneliness was consistently associated with higher odds of all PASC categories. This study reveals a high prevalence of PASC 1 year post-infection, with notable racial and ethnic disparities. The results underscore the need for long-term monitoring of those infected with COVID-19 during the initial waves, with a focus on identifying and addressing yet unmeasured social determinants of health that contribute to these disparities.

Early developmental insights into the social construction of race.

The way that societies assign people to racial categories has far-reaching social, economic, and political consequences. One framework for establishing racial boundaries is based on ancestry, which historically has been leveraged to create rigid racial categories, particularly with respect to being categorized as White. A second framework is based on skin tone, which can vary within families and across the lifespan, and is thus more likely to blur racial boundaries. The persistence of these distinct cultural beliefs about race requires that they be transmitted to each new generation, but there have been few cross-cultural studies on their development during childhood. Participants (5- to 12-year-old children, N = 123) were from the United States, in which the ancestry model has been more prevalent, or from Brazil, in which the skin tone model has been more prevalent. In both countries, 5- to 7-year-olds endorsed the belief that skin tone determines race, for example, by assigning biological siblings with differing skin tones to different racial categories. However, racial concepts diverged among the 10- to 12-year-olds, with children from the United States shifting toward a classification based on ancestry and children in Brazil endorsing a classification based on skin tone even more strongly with age. These differing conceptions were especially evident with reference to White racial categorization: Older children from Brazil persisted in classifying lighter skinned people as White when they had African ancestry, unlike older children from the United States. These findings provide important insights into the developmental and cultural influences on racial classification systems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Double Consciousness: A Subject Formation in Toni Morrison’s Tar Baby

This paper based on Toni Morrison's "Tar Baby" delves into the intricacies of race, identity, and belonging. It explores the expressions of double consciousness in Morrison's work and its significance in understanding the characters' motivations and relationships. It employs W.E.B. Du Bois’s concept of double consciousness as a literary tool to describe the internal conflict experienced by African Americans. Double consciousness refers to the psychological experience of African Americans who perceive themselves both as individuals and as members of a racially marginalized group. This duality arises from the social construction of race and the historical context of oppression, leading to a fragmented identity. The female protagonist, Jadine Childs, embodies the struggle of double consciousness as a young, educated black woman. She gets divided between her African heritage and the allure of white culture. Her relationship with Son, a male protagonist, serves as a catalyst for her exploration of self-awareness and cultural identity. This study examines how Morrison portrays the internal conflicts faced by her characters. Additionally, it navigates the reasons behind the formation of split personality of the characters. It also discovers the role of history and memory in shaping the characters' perceptions. Over all, this research contributes the readers to comprehend how double consciousness acts in order to formulate fragmented personality of the black characters.

Cardiovascular Burden of the V142I Transthyretin Variant

Individual cohort studies concur that the amyloidogenic V142I variant of the transthyretin (TTR) gene, present in 3% to 4% of US Black individuals, increases heart failure (HF) and mortality risk. Precisely defining carrier risk across relevant clinical outcomes and estimating population burden of disease are important given established and emerging targeted treatments. To better define the natural history of disease in carriers across mid to late life, assess variant modifiers, and estimate cardiovascular burden to the US population. A total of 23 338 self-reported Black participants initially free from HF were included in 4 large observational studies across the US (mean [SD], 15.5 [8.2] years of follow-up). Data analysis was performed between May 2023 and February 2024. V142I carrier status (n = 754, 3.2%). Hospitalizations for HF (including subtypes of reduced and preserved ejection fraction) and all-cause mortality. Outcomes were analyzed by generating 10-year hazard ratios for each age between 50 and 90 years. Using actuarial methods, mean survival by carrier status was estimated and applied to the 2022 US population using US Census data. Among the 23 338 participants, the mean (SD) age at baseline was 62 (9) years and 76.7% were women. Ten-year carrier risk increased for HF hospitalization by age 63 years, predominantly driven by HF with reduced ejection fraction, and 10-year all-cause mortality risk increased by age 72 years. Only age (but not sex or other select variables) modified risk with the variant, with estimated reductions in longevity ranging from 1.9 years (95% CI, 0.6-3.1) at age 50 to 2.8 years (95% CI, 2.0-3.6) at age 81. Based on these data, 435 851 estimated US Black carriers between ages 50 and 95 years are projected to cumulatively lose 957 505 years of life (95% CI, 534 475-1 380 535) due to the variant. Among self-reported Black individuals, male and female V142I carriers faced similar and substantial risk for HF hospitalization, predominantly with reduced ejection fraction, and death, with steep age-dependent penetrance. Delineating the individual contributions of, and complex interplay among, the V142I variant, ancestry, the social construct of race, and biological or social determinants of health to cardiovascular disease merits further investigation.

Uncertain Blackness: The Mysterious Case of Joseph Stadler

Abstract Historians have identified George Coleman Poage as the first African American Olympian. Poage won two bronze medals in the hurdles at the 1904 St. Louis Olympics. In that same year, the name of another potential Black Olympian, Joseph Stadler, appeared briefly in a few newspaper stories previewing the games. Stadler clearly competed in St. Louis, winning a silver medal and bronze medal in the now-archaic forms of standing jumps. Whether he should join Poage on the roster of pioneering African American Olympians, however, remains a mystery among Olympic researchers—as does his racial identity. Analyzing the historical record regarding these claims and employing new information from census data and other public records reveals that Stadler was most likely white. His “misidentification,” however, reveals more than just a trivial episode about an inaccurate reading of racial identity from limited sources. The long history of narratives about Joseph Stadler's identity reveals important patterns about the social construction of race, illuminates the complexities of more than a century of seeking to depict the Olympics as a fulcrum of racial progress in American culture, and showcases the dangers of attempting to read “race” from historic photographs.

Abstract P114: Micro RNAs Associated With Clinical Classifiers of Gender, Race and Ethnicity in the Diabetes Prevention Program

Introduction: Metabolic syndrome (MetS) is a prominent risk factor for both cardiovascular disease (CVD) and type 2 diabetes (T2D). MicroRNAs (miRs) are small noncoding RNA molecules that target messenger RNAs to alter gene expression. Circulating miRs have been studied as potential clinically meaningful biomarkers of risk for MetS as they are readily measured from blood. Though associations among MetS components and social constructs of race, ethnicity, and gender have previously been established, grouping according to these constructs alone may conflate genetic ancestry with the environmental/behavioral effects of being characterized as a particular gender, race, or ethnicity. The purpose of this study was to identify differences in circulating miRs associated with demographic factors and MetS components to better illuminate the nuanced health impacts of race, ethnicity and gender. Methods: This was a secondary analysis of a subset of participants (N=1000) from the Diabetes Prevention Program (DPP). A custom Fireplex assay was used to quantify miRs from banked plasma collected at baseline. Correlations between miRs and metabolic syndrome components were assessed by Pearson’s correlation coefficient. Multivariable linear models adjusted for age and weight were used to analyze associations between gender, race, ethnicity, and miR expression. The Benjamini-Hochberg false discovery rate (FDR) method was applied. Results: The sample was 68% female, 19% Black, 15% Hispanic, and mean age was 52 ± 10 years. After adjusting for multiple comparisons (FDR&lt;0.05), female gender was positively associated with miRs 320c and 320a, and negatively associated with miR 122. Among 17 miRs associated with race and ethnicity, five (23a, 24, 27a, 92a, and 146a) had different directions of the race and ethnicity-miR associations across Black, Hispanic, and Other race and ethnic groups. Of the miRs significantly associated with gender, race, and ethnicity, 12 were significantly correlated with one or more component of MetS. Two miRs were significantly correlated with fasting glucose (22, 15a), four with HDL cholesterol (122, 23a, 22, 192), four with triglycerides (122, 106b, 22, 192), six with systolic blood pressure (122, 106b, 23a, 27a, 146a, 221), two with diastolic blood pressure (24, 27a), and seven with waist circumference (320c, 320a, 106b, 23a, 24, 27). Conclusions: Significant differences in the enrichment of MetS component-associated miRs were identified across gender, race, and ethnic groups. Obtaining a greater understanding of demographic differences in miRs may aid in measuring the relationship between constructs of race, ethnicity, and gender and clinical parameters, and potentially inform future studies of circulating miRs as quantifiable diagnostic, prognostic, and/or therapeutic biomarkers for the impacts of social determinants within the context of underlying genetic ancestry.

Supplemental Material for Early Developmental Insights Into the Social Construction of Race

Supplemental Material for Early Developmental Insights Into the Social Construction of Race

Genetic Racialization: Ancestry Tests and the Reification of Race

Abstract While there has been a significant increase in the availability of DNA testing to identify one’s ancestry, we know little about the implications of these services for everyday social meanings of race and ethnicity. Scholarship about ancestry testing generally focuses on the significance of DNA testing for individual consumers who lack access to genealogical history, often due to systemic racism and inequality. Drawing on an analysis of over 400 videos uploaded by people who have utilized DNA testing kits to uncover their ancestry, this article focuses on how ancestry testing is mediated in the public sphere and its implications for social understandings of race and ethnicity. We find that consumers of DNA-based ancestry testing engage in what we term “genetic racialization,” in which they emphasize the primacy of science to uncover their ancestral connections, and, by extension, biologize notions of race and ethnicity and omit histories of colonialism and conquest in the social construction of race. The vocabulary of “blood” provides a key framework from which individuals interpret their ancestry results and implicitly draw on colonial frameworks of blood quantum and purity to define what it means to belong to particular racial and ethnic groups.

Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race

Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race

Abstract 1923: Ancestry-associated differences in somatic mutation rates from tumor profiling data of a pan-cancer cohort of 100,000 patients

Abstract Racial and ethnic disparities span the continuum of cancer care and adversely impact screening, detection, diagnosis, treatment, and outcomes of cancer. These disparities are driven by a complex interplay among social, psychosocial, lifestyle, environmental, healthcare, and biological determinants of health. A challenge is that the social constructs of race and ethnicity may not fully capture shared genetic background. Genomics can capture ancestry in a more precise way, allowing genetic influences to be teased apart from the impact of social and environmental factors. Here, we searched for associations between continental genetic ancestry and somatic mutations in cancer genes in a pan-cancer cohort of 100,000 patients. A sample of de-identified records from patients who underwent tumor profiling with the Tempus xT 648-gene assay was selected from the Tempus Database. We inferred global African (AFR), Amerindian (AMR), East Asian (EAS), European (EUR), and South Asian (SAS) continental ancestry proportions with a custom set of 658 ancestry informative markers. To properly account for the collinearity of ancestry proportions, we performed logistic compositional data analysis between mutation counts and ancestry proportions from data of cancer types with at least 300 patients and for genes for which a minimum of 10 and at least 1% of patients harbored variants. Odds ratios (ORs) represent the effect of a doubling in ancestry proportion, adjusted for age, gender, assay version, and all other ancestries. We examined associations for the presence of nonsynonymous somatic mutations and predicted driver mutations with the boostDM algorithm. We adjusted for multiple comparisons at a 5% false discovery rate (FDR) with the Benjamini-Hochberg method. We identified previously reported significant (p&amp;lt;0.001) associations between EAS and predicted driver mutations in EGFR (OR=1.08) in lung cancer, and between AFR and APC (OR=1.03) and KRAS (OR=1.04) in colorectal cancer. Moreover, we found several novel associations, including AFR with TP53 (OR=1.06) and PTEN (OR=0.90) in endometrial cancer and BRAF (OR=0.93) in colorectal cancer, and EAS with CTNNB1 (OR=1.17) in lung cancer. The latter is noteworthy as CTNNB1, which has been proposed as a TTK inhibitor response biomarker, is overall infrequently mutated in lung cancer but activating mutations have been reported in East Asian patients. Indeed, we found that 7% of East Asian lung cancer patients in our cohort harbor a driver mutation in this gene vs. 1.6% in the other groups. Additionally, an association with nonsynonymous mutations was found between AMR with PTPN22 (OR=1.26) in colorectal cancer. While these associations can be the result of a combination of environmental, social, and biological factors, our results suggest that genetic ancestry can be useful to understand disparities in cancer incidence, progression, and outcomes. Citation Format: Brooke Rhead, Yannick Pouliot, Justin Guinney, Francisco M. De La Vega. Ancestry-associated differences in somatic mutation rates from tumor profiling data of a pan-cancer cohort of 100,000 patients [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 1923.

School Age Programs and Services Committee: Fostering Racial Literacy with Children’s Literature

The social construction of race in the United States is deeply rooted in our lives and reflected in our K-12 programs, policies, curriculum, and instructional practices. As more challenges are levied at books that reflect the lives and experiences of racially, culturally, and linguistically diverse students, we propose racial literacy as a framework to guide critical conversations in response.

Impact of race and health coverage on listing and waitlist mortality in pediatric cardiac transplantation

Social factors like race and insurance affect transplant outcomes. However, little is known in pediatric heart transplantation. We hypothesized that race and insurance coverage impact listing and waitlist outcomes across eras. Data from the Pediatric Heart Transplant Society multi-center registry prospectively collected between January 1, 2000-December 31, 2019 were analyzed. Patients were divided by race as Black, White and other and by insurance coverage at listing (US governmental, US private and non-US single payer systems (UK, Canada). Clinical condition at listing and waitlist outcomes were compared across races and insurance coverages. Categorical variables were compared using a chi-square test and continuous variables using the Wilcoxon rank sum test. Risk factors for waitlist mortality were examined using multiphase parametric hazard modeling. A sensitivity analysis using parametric hazard explored the interaction between race and insurance. At listing, compared to Whites (n=5391) and others (n = 1167), Black patients (n=1428) were older, more likely on US governmental insurance and had cardiomyopathy as the predominant diagnosis (p < 0.0001). Black patients were more likely to be higher status at listing, in hospital, on inotropes or a ventricular assist device (p < 0.0001). Black patients had significantly shorter time on the waitlist compared to other races(p < 0.0001) but had higher waitlist mortality (p=0.0091), driven by the earlier era (2000-2009) (p=0.0005), most prominently within the US private insurance cohort (p=0.015). Outcomes were not different in other insurance cohorts or in the recent era (2010-2019). Black children are older and sicker at the time of listing, deteriorate more often and face a higher wait list mortality, despite a shorter waitlist period and favorable clinical factors, with improvement in the recent era associated with the recent US healthcare reforms. The social construct of race appears to disadvantage Black children by limiting referral, consideration or access to pediatric cardiac transplantation.

Orang Cina Bukan Cina: being Peranakan, (not) being Chinese and the social construction of race in Singapore

ABSTRACT This paper explores how being Peranakan is related to (not) being Chinese in Singapore, intertwining descent, racial categorization, cultural practice and choice. Tracing the complex history of Peranakan identity, it highlights how the social construction of race has created a hybrid yet ethnically Chinese identity, with a rich cultural heritage largely relegated to the past. Drawing on theories of racial formation and the racial state, this study illuminates racial ascription and categorization in Singapore. Interviews with 32 Peranakan individuals highlight the positioning of Peranakan identity within the multiracial framework, subsumed within the Chinese category. Examining the idea of being ‘Orang Cina Bukan Cina/Chinese but not Chinese’, the paper addresses nuances of locating the mixedness of hybridity in a racially structured context. Juxtaposed against the recent revitalization of Peranakan material culture, Peranakan as ‘locally born’ illustrates how this complex identity is used in everyday life by individuals and the state.

The Analysis of Racism toward African-American as seen in Selected Phillis Wheatley’s Poems

The issues of race, racism and discrimination always become the canter of the study of the African-American community, for example in literature. An example of African-American Literature that described those things is written by Phillis Wheatley. In her poems that were influenced by the Neoclassicism era, entitled: “On being brought from AFRICA to AMERICA'' and “To the Right Honourable William, Earl of Dartmouth”, she delivered the issues of race and racism. This paper aims to analyze racism toward African-America as described in Phillis Wheatley’s poems. The researcher employed a qualitative descriptive method in which the collected data were analyzed, interpreted, and described to answer the objective of the study. The primary data in this undergraduate thesis are two selected poems by Wheatley and the supporting data were taken from books, articles, journals, online sources, and other sources. The researcher applied African-American criticism to answer the objective of the research. The Researchers use three basic tenets of African-American criticism (Everyday Racism, The Social Construction of Race and Voice of color). The findings show Wheatley’s poems portray the life of an African American who experienced racism first-hand. The concept of racism in the two selected poems from Wheatley’s has correlation with 3 concepts of racism of African-American criticism, those are: Everyday racism, The Social Construction of Race, Voice of color.

Genetic ancestry correlates of the cancer somatic mutational landscape from tumor profiling data of 50,000 patients with cancer.

10573 Background: The incidence and mortality of cancer vary widely across race and ethnicity. This is attributed to an interplay of socioeconomic factors, environmental exposures, and genetic background. Cancer genomic studies have underrepresented minorities and individuals of non-European descent, thus limiting a comprehensive understanding of disparities in the diagnosis, prognosis, and treatment of cancer among these populations. Furthermore, the social constructs of race and ethnicity are far from precise categories to understand the biological underpinnings of such differences. In this study, we use a large real-world data (RWD) patient cohort to examine associations of genetic ancestry with somatic alterations in known cancer driver genes. Methods: We inferred genetic ancestry from approximately 50,000 de-identified records from cancer patients of diverse histology who underwent tumor genomic profiling with the Tempus xT next-generation sequencing (NGS) assay. Our cohort includes patients with brain, breast, colorectal, hematopoietic, lung, and ovarian cancers, among others. We used 654 ancestry informative markers selected to overlap the target regions of the 648-gene Tempus xT NGS assay to infer global ancestry proportions at the continental level: Africa (AFR), America (AMR), Europe (EUR), East Asia (EAS), and South Asia (SAS). We imputed race/ethnicity categories using ancestry proportions on subjects lacking such metadata. Results: Most patients were of European descent (72%), however, continental genetic ancestry inference identified 4.7 and 3.8-fold more patients with substantial (&gt; 50%) AFR and AMR ancestry, correspondingly, compared with TCGA. We observed higher percentages of AFR ancestry patients with prostate, breast, and colorectal cancer (1.8-3.1%) and AMR ancestry patients with colorectal cancer (2.4%) compared to the overall cohort-level distributions (p &lt; 0.05). Using imputation, we identified 60% and 121% more patients as likely Black and Hispanic/Latino, respectively. We observed several associations between genetic ancestry with tumor mutation burden (TMB), e.g., a reduction in median TMB in Asian breast cancer patients (Asian TMB mean = 2.3 m/Mb vs 4.4 for Black, 3.3 for Hispanic, and 4.2 for White; p &lt; 0.0001), in paired tumor/normal sequencing data. Furthermore, we found associations between ancestry and nonsynonymous somatic mutations in cancer genes, e.g. in CTNNB1 with EAS ancestry (OR = 1.18) and EGFR with EAS (OR = 1.24), AMR (OR = 1.30), and EUR (OR = 0.89) ancestries (all p &lt; 0.001) in lung cancer patients. Conclusions: Our results support the use of genetic ancestry inference on RWD to improve upon the social constructs of race and ethnicity, allowing us to better understand the impact of shared germline genetic or exposure backgrounds into cancer mutational processes that influence incidence, progression, and outcomes.

Between Racial Stranger and Racial Underling: Elastic Racialization of Asian Pacific Americans Across White and Multiracial Academic Spaces

Using an autoethnographic approach, this article draws on my personal experience as an Asian Pacific American (APA) political theorist who has navigated between different institutional spaces to reflect on a phenomenon that I call “elastic racialization” of APAs in higher education and its implications on our pedagogic agenda and curriculum. While the existing notion of “differential racialization” critically captures the ways in which racial minority groups have been racialized in different ways in accordance with the changing interests of the dominant group, the concept is often used in a broad U.S. national context such that even though it underlines fluidity in the social construction of race, the racialized meanings of particular racial groups can become fixed understandings and paradigms. As a result, we stop short of exploring further how the differential racialization of people of color—for instance, APAs as the “model minority” and the “perpetual foreigner”—can take on more protean forms in particular locations and contexts. Through a self-reflective analysis, I discuss how my racialized positionality in academia has taken on a more nuanced, elastic quality in different institutional contexts: shifting between “racial stranger” in the predominantly White space of political theory within political science and “racial underling” in the multiracial space of an interdisciplinary academic unit. Elastic racialization systemically effaces APA experiences/issues in the teaching/learning agenda of political science and other (inter)disciplinary fields, underlining the resilient multiformity of racism that requires a protean and multipronged approach of counter-racialization in higher education.

Socio-ethnic expectations of race in speech perception

The social construct of race, as a group of individuals to be visually or auditorily discriminated between, or from, or against is a human construction much like speech itself. This talk will share the analyses of a speech production and a speech perception experiment designed to evaluate how familiar and unfamiliar listeners parse the auditory spectral information contained in words to assign the speech token to a racial category. Familiar North Carolina listeners (n = 28) and unfamiliar Indiana listeners (n = 44) heard ten hVd words produced by three male and three female, Black and White talkers from two geographically distant dialect regions in east and west North Carolina (n = 24). Listener groups assigned most speech tokens to the correct racial category with greater than chance accuracy. Statistically significant differences in listener use of socio-ethnically aligned vowels as produced in the words hid, heyd, head, mid and low front vowels the back vowel as produced in whod and the diphthongs as produced in hoyd, hide and howed were noted. Results will be discussed in the context of socio-ethic talker group membership and patterns of both listener accuracy and listener error in assigning talkers to racial groups.

Recognizing Our Biases, Understanding the Evidence, and Responding Equitably: Application of the Socioecological Model to Reduce Racial Disparities in the NICU.

Implicit bias permeates beliefs and actions both personally and professionally and results in negative health outcomes for people of color-even in the neonatal intensive care unit (NICU). NICU clinicians may naïvely and incorrectly assume that NICU families receive unbiased care. Existing evidence establishing associations between sex, race, and neonatal outcomes may perpetuate the tendency to deny racial bias in NICU practice. Using the socioecological model as a framework, this article outlines evidence for racial health disparities in the NICU on multiple levels-societal, community, institutional, interpersonal, and individual. Using current evidence and recommendations from the National Association of Neonatal Nurses Position Statement on "Racial Bias in the NICU," appropriate interventions and equitable responses of the NICU clinician are explored. Based on current evidence, clinicians should reject the notion that the social construct of race is the root cause for certain neonatal morbidities. Instead, clinicians should focus on the confluence of medical and social factors contributing to each individual infant's progress. This critical distinction is not only important for clinicians employing life-saving interventions, but also for those who provide routine care, developmental care, and family education-as these biases can and do shape clinical interactions. Healthcare practitioners have an ethical and moral responsibility to maintain up-to-date knowledge of new evidence that impacts our clinical practice. The evidence demonstrates the importance of recognizing the enduring role of racism in the health and well-being of people of color and the need to adjust care accordingly.

Whose outcomes are we measuring? review of patient-reported outcome study populations

In 2020, the Pelvic Floor Disorders Consortium Working Group on Patient-Reported Outcomes evaluated patient-reported outcome (PRO) instruments in pelvic floor disorders. PROs measure patients’ lived experiences and are considered appropriate for use in populations where their validity properties have been evaluated. The social construct of race can impact lived experience. It is unclear if this is accounted for in existing PROs. This study describes the race and ethnicity characteristics of the validation study populations in cited PRO instruments.

Vicious Trauma: Race, Bodies and the Confounding of Virtue Ethics

This essay asks: How do the realities of embodied trauma inflicted by racism interface with virtue theory? This question illuminates two lacunae in virtue theory. The first is attention to race. We argue that the contemporary academic virtue literature performs largely as a White space, failing to address virtue theory’s role in the social construction of race, ignoring the rich and vibrant resources on virtue ethics alive within the Black theological tradition that long antedates Alasdair MacIntyre’s After Virtue, and segregating the emerging literature on race and virtue from the broader discourse. The second is lack of attention to embodiment. More precisely, contemporary virtue theory, informed largely by Aristotle, Aquinas, and MacIntyre, has no conceptual space to theorize the body’s role acquiring and deploying virtue and vice. To explore this nexus, we draw on racial trauma therapist Resmaa Menakem, Katie Walker Grimes, and Howard Thurman’s Jesus and the Disinherited to challenge contemporary virtue theory and open new possibilities for a robustly corporate, enfleshed theological virtue ethic.