White Minority Research Articles

Beyond Impasse: Affect and Language Community in Select Contemporary Afrikaans Lyric Poetry

Abstract: Stasis and impasse register as conditions of interrupted development in many examples of postapartheid South African writing, works that engage the affective discontents of the transition from white minority rule to a future that has not quite materialised as promised. Much extant scholarship on this body of work attends to prose and to texts written in English. This essay takes two collections of poetry published in South Africa in Afrikaans in 2016—Ronelda Kamfer's Hammie and Bibi Slippers' Fotostaatmasjien —as case-study examples of how lyric poetry in this contested language might model a way out of postcolonial (and postapartheid) malaise. These poets' lyrics are performances in a language whose ongoing, creolizing nature is exploited and advanced by their refusal of conventions that historically linked Afrikaans to white nationalist politics. Kamfer's and Slippers' work evokes—and provokes—an excess of continuity whose multiple affective resonances are testimony to the possibilities that lie beyond stasis.

Black Sexual Minority Adults' Avoidance of Professional Mental Health Care.

The authors sought to determine whether Black sexual minority individuals were more likely than White sexual minority individuals to postpone or avoid professional mental health care (PMHC) and, if so, to identify the reasons for postponing or avoiding care. Analyses were conducted with a subsample of cisgender Black (N=78) and White (N=398) sexual minority individuals from a larger survey of U.S. adults administered via MTurk in 2020 (N=1,012). Logistic regression models were used to identify racial differences in overall postponement or avoidance of care as well as differences in the prevalence of each of nine reasons for postponing or avoiding care. Black sexual minority individuals were more likely than their White counterparts to report ever postponing or avoiding PMHC (average marginal effect [AME]=13.7 percentage points, 95% CI=5.4-21.9). Black sexual minority people also were more likely than their White counterparts to cite beliefs that they should work out their problems on their own (AME=13.1 percentage points, 95% CI=1.2-24.9) or with family and friends (AME=17.5 percentage points, 95% CI=6.0-29.1) and to cite providers' refusal to treat them (AME=17.4 percentage points, 95% CI=7.6-27.1) as reasons for postponing or avoiding care. Black sexual minority individuals were more likely than their White counterparts to report delaying or avoiding PMHC. Personal beliefs about managing mental health and providers' refusal to offer treatment influenced Black sexual minority individuals' willingness or ability to seek PMHC.

Ethnic Disparities in ST-Segment Elevation Myocardial Infarction Outcomes and Processes of Care in Patients With and Without Standard Modifiable Cardiovascular Risk Factors: A Nationwide Cohort Study.

Trials suggest patients with ST-elevation myocardial infarction (STEMI) without 'standard modifiable cardiovascular risk factors' (SMuRFs) have poorer outcomes, but the role of ethnicity has not been investigated. We analyzed 118,177 STEMI patients using the Myocardial Ischaemia National Audit Project (MINAP) registry. Clinical characteristics and outcomes were analyzed using hierarchical logistic regression models; patients with ≥1 SMuRF (n = 88,055) were compared with 'SMuRFless' patients (n = 30,122), with subgroup analysis comparing outcomes of White and Ethnic minority patients. SMuRFless patients had higher incidence of major adverse cardiovascular events (MACE) (odds ratio, OR: 1.09, 95% CI 1.02-1.16) and in-hospital mortality (OR: 1.09, 95% CI 1.01-1.18) after adjusting for demographics, Killip classification, cardiac arrest, and comorbidities. When additionally adjusting for invasive coronary angiography (ICA) and revascularisation (percutaneous coronary intervention (PCI) or coronary artery bypass grafts surgery (CABG)), results for in-hospital mortality were no longer significant (OR 1.05, 95% CI .97-1.13). There were no significant differences in outcomes according to ethnicity. Ethnic minority patients were more likely to undergo revascularisation with ≥1 SMuRF (88 vs 80%, P < .001) or SMuRFless (87 vs 77%, P < .001. Ethnic minority patients were more likely undergo ICA and revascularisation regardless of SMuRF status.

The Incompatibility of Humanism in the South African Constitution with Neoliberal Governmentality

Abstract The Constitution of the Republic of South Africa is a momentous text in the history of South Africa’s liberation from the apartheid regime. It marks a break with the old regime, which sought to protect the prosperity of the country’s white minority while oppressing the black majority. The shift posited in the Constitution was clearly legal, but it was also conceptual. It was written with the intention to change the normative structure and principles of justification. As I will argue, it puts forward a normative discourse based on humanism. Since humanism has a rocky history, rife with exclusion and subjugation, it is important to clarify the sort of humanism contained in the Constitution of South Africa as one which understands the human as a site of potential. Although the Constitution may place value on such a humanism, it is not clear that our other social discourses cohere with this apprehension of the human. Specifically, I claim that the tendency in South African discourse (in various realms) to deploy neoliberal reason is at odds with the humanism outlined in the South African Constitution and therefore also does not allow for its actualisation.

Patient navigation for lung cancer screening in an urban safety-net system: A pragmatic randomized clinical trial.

10577 Background: Although low-dose computed tomography (LDCT)-based lung cancer screening (LCS) can decrease lung cancer mortality in high-risk individuals, it may be a complex and time-intensive process that poses challenges to patients, particularly those from minority, under- and uninsured populations. We conducted a pragmatic randomized controlled trial of telephone-based navigation for LCS within an integrated, urban safety-net healthcare system (Parkland Health, Dallas, Texas). Methods: Patients eligible for LCS based on United States Preventive Services Task Force 2013 Guidelines were randomized (1:1) to usual care with or without phone-based navigation. Following a structured protocol, navigators made systemic contact with patients to provide appointment reminders, share information and resources, assess barriers to LCS, and address smoking cessation. The primary endpoint was completion of the first three consecutive steps (eg, 3 annual LDCTs or LDCT, other imaging, biopsy) in a patient’s LCS process. We also explored differences in completion of LCS steps in navigation and usual care groups according to patient characteristics using chi-square test. Results: Patients (n=447) were randomized to phone-based navigation (n=225) or usual care (n=222) between February 2017 and February 2019. Mean patient age was 62 years, 46% were female, and 69% were racial-ethnic minorities. There was no significant difference in completion of the first three steps of the LCS algorithm (12 vs. 9%; P=0.3) between arms. Completion of LCS steps was not impacted by navigation among different subgroups, including age (&lt;65 vs. ≥65 years), gender (male vs. female), race/ethnicity (non-hispanic white vs. racial minorities), and comorbidity status (Charlson Comorbidity Index &lt;5 vs. ≥5). A key reason for step non-completion was lack of order placement. In the navigation arm, 368 of expected 675 steps (55%) were ordered, and in the usual care arm, 344 of expected 666 steps (52%) were ordered. Despite low three-step completion rates overall, the majority (&gt;75%) of LCS algorithm steps were completed when ordered by their clinical team(Table). In exploratory univariable analysis, completion rates for ordered steps were 86% for navigation and 79% for usual care ( P=0.03). Conclusions: In this study, lack of order placement was a key reason for incomplete LCS steps. When orders were placed, navigated patients had higher rates of completion. Clinical team education and enhanced EHR processes to simplify order placement, coupled with patient navigation, may increase LCS uptake and completion in safety-net healthcare systems. Clinical trial information: NCT02758054 . [Table: see text]

17th International Conference on Malignant Lymphoma, Palazzo dei Congressi, Lugano, Switzerland, 13 - 17 June, 2023.

Background: CAR T-cell therapy has revolutionised treatment of relapsed/refractory (r/r) large B-cell lymphoma (LBCL), but it is unclear whether access and clinical benefit is equal for ethnic minorities and deprived communities. We analysed outcomes of LBCL patients approved for CD19 CAR T at 2 UK centres serving a large and diverse population, according to ethnicity and socioeconomic deprivation. Methods: Consecutive patients with r/r LBCL approved for 3L axicabtagene ciloleucel (axi-cel) or tisagenlecleucel (tisa-cel) between January 2019 and December 2022 at King’s College Hospital London and University Hospital Birmingham were included. Data on deprivation was obtained through the Index of Multiple Deprivation (IMD) 2020 according to patients’ postcode. The IMD ranks between 1 and 10 and includes different factors relating to healthcare inequalities (e.g., income, employment, education). Patients were grouped into high (IMD 1–3) and low deprivation (8–10). Results: 245 patients were included, 193 approved for axi-cel, 52 for tisa-cel. Deprivation data were available for 218 patients. The product choice did not differ according to ethnic or deprivation groups. Patients’ median age was 61y. Ethnic groups were as follows: 214/245 (87%) White, 22 (9%) Asian, 7 (3%) Afro-Caribbean, 2 mixed race. 21% of patients were from areas of high deprivation. 53% of patients travelled >50 km to the CAR T centre, 25% >100 km. 82% patients were infused, with no significant difference according to ethnicity, deprivation or distance to the centre. Ethnic minority patients came from more deprived areas versus white patients (med. IMD 7 vs. 5 vs. 4 in White, Asian and Afro-Caribbean patients, respectively; p = 0.04). Distance to the CAR T centre was longer in white versus ethnic minority patients (med. 59 vs. 18 km, p = 0.03). There were more patients with ECOG PS 0 from low deprivation areas (46% vs. 31%; p = 0.04), otherwise no significant differences of baseline characteristics, i.e., LDH, bulk, stage, IPI, bridging response, or vein-to-vein time according to ethnicity or deprivation. No difference was observed in high-grade ICANS, incidence of CRS, ICU requirement, tocilizumab/steroid use or non-relapse mortality with respect to ethnicity or deprivation. CAR T response and progression-free survival were similar across ethnic and deprivation groups. Among patients who progressed after CAR T, those from areas of low deprivation were more likely to receive further therapies (79% vs. 48%, p = 0.02). Patients from low deprivation areas had better overall survival (OS; 1-y OS 61% vs. 45%, p = 0.04). Keywords: Cancer Health Disparities, Cellular therapies, Immunotherapy No conflicts of interests pertinent to the abstract.

Impact of the government's restrictions and guidance in relation to “social distancing” on the lives of ethnic minority populations: A mixed methods study

AbstractBackground and AimsThe impacts of the COVID‐19 pandemic have not been equal, with a disproportionate impact among ethnic minority communities. Structural inequalities in social determinants of health such as housing and employment have contributed to COVID‐19's impact on deprived communities, including many ethnic minority communities. To compare (1) how the UK government's “social distancing” restrictions and guidance were perceived and implemented by ethnic minority populations compared to white populations, (2) the impact of restrictions and guidance upon these groups.MethodsAn explanatory sequential mixed methods study incorporated a quantitative survey and qualitative semi‐structured interviews to explore individual perceptions and experiences of COVID‐19 and the national restrictions. Survey participants (n = 1587) were recruited from North West England; 60 (4%) participants were from ethnic minority communities. Forty‐nine interviews were conducted; 19 (39%) participants were from ethnic minority communities. Interviews were transcribed verbatim and analysed using a thematic approach. Data collection was between April and August 2020.ResultsSignificant differences in demographics and household overcrowding were observed between white vs ethnic minority survey respondents, who were also significantly less confident in their knowledge of COVID‐19, less likely to be high‐risk drinkers, and marginally more likely to have experienced job loss and/or reduced household income. There were no group differences in wellbeing, perceptions, or nonfinancial impacts. Two inter‐related themes included: (1) government guidance, incorporating people's knowledge and understanding of the guidance and their confusion/frustration over messaging; (2) the impacts of restrictions on keyworkers, home‐schooling, working from home and changes in lifestyle/wellbeing.ConclusionsFurther research is needed on the long‐term impacts of COVID‐19 on ethnic minority communities. If policy responses to COVID‐19 are to benefit ethnic minority communities, there is a need for future studies to consider fundamental societal issues, such as the role of housing and economic disadvantage.

Apartheid Internationalism: Canadian Activism in Defence of White Rule in Southern Africa, 1965–94

From 1965 to 1994, some Canadians participated in transnational activism aimed at supporting or excusing white minority rule in South Africa and Rhodesia. Their ideas, arguments, and interconnections contributed to “apartheid internationalism,” a form of internationalism without central organization yet forged through a common cause and specific (and sometimes covert) political networks. The Canadian fraction of the movement was internally diversified and decentralized. Yet this article shows that ties among activists were considerable. Whether taking pro-apartheid or “anti-anti-apartheid” positions, participants expressed variants of white supremacism, contextualizing and qualifying their views on racial superiority within adjacent right-wing political projects. Not entirely unlike studies of anti-apartheid activism, the examination of the defenders of apartheid demonstrates the importance of race in Canadian international history. It also shows how a range of people beyond politicians and diplomats engaged with transnational issues. Most strikingly, the analysis reveals that liberal internationalism or internationalisms associated with the political left were not the only responses to a decolonizing world. Some Canadians with conservative and authoritarian perspectives refused to accept a decline of white power or found new ways to present their support for white minority governments in southern Africa.

Christianity in the Propaganda of ZANU and ZAPU, 1965–1980

This article looks at how ZANU and ZAPU, the two main Zimbabwean nationalist groups in UDI-era Rhodesia, sought to present and engage with Christianity in their propaganda. Given that the Rhodesians cast themselves as defenders of ‘Christian civilisation’, it was inevitable that the media war would touch heavily upon ecclesiastical issues. It is contended here that the nationalists developed a powerful argument: that the Rhodesian government and the Churches of southern Africa were falling far short of the ideals of Christianity. This message then in turn served as an important part of their critique of the white minority regime.

Public Histories in South Africa: Between Contest and Reconciliation

Public history has long been practiced in South Africa, yet its content and purpose have always been deeply contested. In a deliberate, state-driven process, it has undergone extensive change since 1994, helping to redefine the nation in the post-apartheid era. There have been two principal means of achieving this goal: the first has been to commission a large number of new memory sites and the second has been to insist on a renovation of older sites, whose previous incarnation served the narrow interests of a small white minority. While clear new narratives have emerged, the process has witnessed continuing contests over representation and competing claims to the heritage estate.

Racial Attitudes toward Black and Asian People: From Chinese International Students Perspective

Racial bias has been a controversial topic across nations, especially in Western countries. Prior western research intensively studied the racial attitudes and interracial conflicts of white, black, or other minorities. However, researchers seldomly focus their eyesight on Chinese international students, who are the minority group and temporarily reside in these countries. To address the importance of Chinese international students racial attitudes towards interracial groups and diversify feasible research data, this research used implicit methods and explicit methods to examine implicit and explicit racial attitudes among Chinese international students (N = 27 participants, 13 females and 14 males). Results found that Chinese international students displayed implicit racial preferences for Asians higher than that of Blacks, but there are no explicit racial preferences. Additionally, no correlation was found between implicit and explicit racial biases. These results provide strong evidence for the existence of implicit racial biases and point to the need to reduce these biases among international students.

Apartheid policy in South Africa

Racial discrimination is a very big problem and is found in several countries such as the United States, Great Britain and the most dominant in South Africa with the policy of apartheid. Therefore, South Africa is at the center of the fight against racism towards achieving justice. The word apartheid means "separation" in the African language and it describes the racial rigidity that governs the division between the minority white population and the majority white population. The struggle of the majority of black Africans against the domination of white minorities is the main and last racial conflict. The international community actively encourages it. However, the white group was large enough and too strong while the black power was so weak and divided, that in the end a person named Nelson Mandela appeared, who was active in the struggle for the elimination of the politics of apartheid in South Africa on the grounds that racial crises and conflicts would arise. what happened there was soon over and South Africa became an auspicious country.

The White Minority: Natives and Nativism in Contemporary France

AbstractIn 2009, a nativist association named AGRIF sued antiracist activist Houria Bouteldja for “anti-white racism.” Though unsuccessful in court, the legal proceedings against Bouteldja are illustrative of a decades-long phenomenon that has accelerated in the age of new media: the recuperation of antiracist discourses by nativist activists who claim that white people constitute a minority in France. This article tracks the emergence of French nativist discourses from the nineteenth century to the present, with particular attention to identification with the figure of the colonized in the colonial archive and in the nativist discourses that have accompanied decolonization in France. Anchored in the history of France's prized settler colony, Algeria, the colonial genealogy of French nativism offers lessons for the study of nativism in other (post)colonial contexts.

Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men

BackgroundResearch suggests that structural racism and homophobia are associated with mental well-being. However, structural discrimination measures which are relevant to lived experiences and that evade self-report biases are needed. Social media and global-positioning systems (GPS) offer opportunity to measure place-based negative racial sentiment linked to relevant locations via precise geo-coding of activity spaces. This is vital for young sexual minority men (YSMM) of color who may experience both racial and sexual minority discrimination and subsequently poorer mental well-being. MethodsP18 Neighborhood Study (n = 147) data were used. Measures of place-based negative racial and sexual-orientation sentiment were created using geo-located social media as a proxy for racial climate via socially-meaningfully-defined places. Exposure to place-based negative sentiment was computed as an average of discrimination by places frequented using activity space measures per person. Outcomes were number of days of reported poor mental health in last 30 days. Zero-inflated Poisson regression analyses were used to assess influence of and type of relationship between place-based negative racial or sexual-orientation sentiment exposure and mental well-being, including the moderating effect of race/ethnicity. ResultsWe found evidence for a non-linear relationship between place-based negative racial sentiment and mental well-being among our racially and ethnically diverse sample of YSMM (p < .05), and significant differences in the relationship for different race/ethnicity groups (p < .05). The most pronounced differences were detected between Black and White non-Hispanic vs. Hispanic sexual minority men. At two standard deviations above the overall mean of negative racial sentiment exposure based on activity spaces, Black and White YSMM reported significantly more poor mental health days in comparison to Hispanic YSMM. ConclusionsEffects of discrimination can vary by race/ethnicity and discrimination type. Experiencing place-based negative racial sentiment may have implications for mental well-being among YSMM regardless of race/ethnicity, which should be explored in future research including with larger samples sizes.

Nagy-Britannia és Afrika

On February 3rd 1960 British Prime Minister Harold Macmillan gave a landmark speech in the South African Parliament. He stated that no one can resist the “wind of change”, the process of decolonisation. This represented a turn in British politics, that for more than a decade after India becoming independent was still trying to preserve as much as possible of its colonial empire, that was not that long ago the biggest empire in history. Letting go of the West African colonies was relatively easy, as the climate and the high population density made the region unfavorable for European settlement. However, there was a desire to turn South and East Africa into “the white man’s land”, therefore Britain was unwilling to give up its positions in this region. Macmillan changed this policy. The new course of decolonisation was not followed by everyone, in South Rhodesia, and primarily in the South African Union the white minority tried to resist the wind of change for a long time. Britain was unable to stop these attempts, therefore the decolonisation process dragged on for decades, concluding only in 1994.

Walk Down Memory Lane: Racial Injustice in Lewis Nkosi’s Mating Birds

Using as a stepping stone Mating Birds by the late South African novelist Lewis Nkosi, I take a trip down memory lane to grapple with the issue of justice in apartheid era South Africa. The paper argues that the scales of the judiciary under the system of institutionalized racism was heavily weighted in favour of the white minority who ruled the roost in South Africa from 1948 to the early 1990s. Underpinned by a racist ideology that foregrounded the supposed purity of Afrikanerdom, the steamroller of the judicial system under apartheid denied any rights to South African blacks and coloured alike to the point of forefending love across the colour bar. The lead character in Mating Birds, to wit Sibiya, knows only too well the strictures of an unfair administration of justice. Sentenced to death by hanging for allegedly raping a white girl, his dogged impassioned denials fails to pack a punch as the laws of his country make it a crime for a black man to even have designs (no matter how sincere) on a white girl. Tapping into a methodology based on philosophical, sociological, psychoanalytic, psychological perspectives, the paper brings to light the multifaceted cruelty of race-spiked injustice as evidenced by Sidiya’s plight.

An immersive field trip focused on beef production increases the sense of belonging in ethnoracial minority college students.

Sense of belonging is a student's sense of feeling accepted, valued, and included by others in their discipline. Imposter syndrome is self-perceived intellectual fraud in areas of success. Sense of belonging and imposter syndrome can influence behavior and well-being and are linked to academic and career outcomes. Our objective was to evaluate if a 5-d tour of the beef cattle industry changed college students' sense of belonging and imposter tendencies with a focus on ethnicity/race. Procedures involving human subjects were approved by the Texas State University (TXST) IRB (#8309). Students from TXST and Texas A&M University (TAMU) attended a beef cattle industry tour in the Texas Panhandle in May 2022. Identical pre- and post-tests were administered immediately before and after the tour. Statistical analyses were conducted with SPSS v.26. Independent sample t-tests were used to evaluate the change from pre- to post-survey and one-way ANOVA was used to evaluate the effect of ethnicity/race. Students (n = 21) were mostly female (81%); attended TAMU (67%) or TXST (33%); and were White (52%), Hispanic (33%), or Black (14%). "Hispanic" and "Black" were combined as a single variable to analyze differences between White and ethnoracial minority students. Before the tour, there was a difference (P = 0.05) in sense of belonging in agriculture between White (4.33 ± 0.16) and ethnoracial minority (3.73 ± 0.23) students such that White students had stronger belonging. There was no change (P = 0.55) in White students' sense of belonging as a result of the tour, from 4.33 ± 0.16 to 4.39 ± 0.44. However, there was a change (P ≤ 0.01) in ethnoracial minority students' sense of belonging, from 3.73 ± 0.23 to 4.37 ± 0.27. There was no change (P = 0.36) in imposter tendencies from the pre-test (58.76 ± 2.46) to the post-test (60.52 ± 2.79). Ultimately, participating in the tour increased ethnoracial minority, but not White, students' sense of belonging and did not impact imposter syndrome tendencies across or within ethnicity/race. One benefit of implementing experiential learning opportunities in dynamic social environments is the potential to improve students' sense of belonging, especially in disciplines and careers where ethnoracial minority people are underrepresented.

One Size Does Not Fit All: A Comparison of White, Latinx, and Black Student's Unadjusted and Adjusted GPAs in a College of Business and Public Administration of a Hispanic Serving Institution

Because higher education creates more informed individuals, healthier citizens, social prestige, job satisfaction, and numerous other non-economic benefits, it is important that all members of society have opportunities for successful educational achievement. Using data for undergraduate students enrolled in a business college of a large Hispanic Serving Institution (HSI), this study documents the existence of an unadjusted GPA gap between White students and ethnic minority students. This study also shows that the unadjusted GPA gaps decrease when socio-economic indicators are introduced in the analysis. The gaps continue to decrease when units-taken, transfer status, age, and student status are added to the analyses. Findings also show that although the differences between White and Latinx GPA can be explained by the covariates used in the analyses, the same cannot be concluded for Black students. Adding the same covariates reduces the gaps but does not eliminate them. Latinx students thus appear to benefit more than Black from being enrolled in a HIS. To sum up, while a significant amount of the difference between White and Latinx students can be explained by differences in socioeconomic status and other factors introduced in the regression analyses, the same cannot be said about Black students. We think that this is an important outcome that deserves substantial investigation. One size does not fit all.

The Political Economy of American Businesses in British Central Africa, 1953–1963

This article details how and why officials in the United States and the Federation of Rhodesia and Nyasaland developed policies and initiatives to promote US capital investments. It analyzes these policies in the context of decolonization, white minority rule, and the Cold War in Africa. It further shows how US business interests, especially in the mining industry, increased their investments and influenced policy. Drawing from Zimbabwean archives, it argues that these competing priorities produced inconsistent results that tended to support US imperialism and hinder nationalist movements in British Central Africa.

Racial Disparities in Outcomes Following Open Treatment of Pediatric Femoral Shaft Fractures.

Introduction Femoral shaft fractures are a common pediatric injury that can require non-operative or operative management. Several studies have shown that race impacts pain management and a number of emergency department visits in the pediatric femur fracture population. This study aimed to investigate any association between pediatric patient race and number of comorbidities, 30-day postoperative outcomes, and length of stay following open surgical treatment of femoral shaft fractures. Methods Pediatric patients who underwent open treatment of femoral shaft fracture were identified in the National Surgical Quality Improvement Program-Pediatric database from 2012-2019. Patients were categorized into two cohorts: White and underrepresented minority (URM). URM groups included Black or African American, Hispanic, Native American or Alaskan, and Native Hawaiian or Pacific Islander. Demographics, comorbidities, and postoperative complications were compared using bivariate and multivariable regression analyses. Results Of the 5,284 pediatric patients who underwent open treatment of femoral shaft fracture, 3,650 (69.1%) were White, and 1,634 (30.9%) were URM. Compared to White patients, URM patients were more likely to have a higher American Society of Anesthesiologists score (p=0.012), more likely to have pulmonary comorbidities (p=0.005), require preoperative blood transfusion (p=0.006), and have an increased risk of prolonged hospital stay (OR 2.36; p=0.007). Conclusion Pediatric URM patients undergoing open treatment of femoral shaft fractures have an increased risk of extended hospital stay postoperatively compared to White patients. As the racial and ethnic constitution of the pediatric population changes, understanding racial and ethnic health disparities will be crucial to providing equitable care to all patients.