White doctors and nurses on racial inequality in health care in the USA: whiteness and colour-blind racial ideology

In this paper we report on an interdisciplinary project interviewing doctors and nurses about racial inequality in health care in the USA. We analysed data from interviews with twenty-two white doctors and nurses in which they were asked to offer explanations for racial inequality in health care. Results provide insight into how whiteness operates to provide white patients more often with appropriate health care and how colour-blind ideology can be adapted to accommodate naming white advantage and potential racial discrimination. However, even when naming mechanisms of white advantage in accessing resources, the white respondents avoided acknowledging how they are implicated in racial inequality in health care. We discuss the implications for understanding whiteness and colour-blind ideology.     

The perils of integration: exploring the experiences of African American and black Caribbean students in predominately white secondary schools

Racial minority students who attend predominately white schools in the United States and England face unique challenges in their learning environments that are connected to their status as non-white students. Scholars have documented the experiences of racial and ethnic minority students in mixed-raced schools in the United States and the UK for over four decades. However, the authors explore new research territory by employing critical race analysis to further articulate the similar experiences shared by African American and black Caribbean students’ in mixed-race schools. Using data two different studies, one in the United States and one in England, the authors highlight the resemblances between the experiences of African American and black Caribbean students in predominantly white suburban and rural secondary schools. To increase racial equity in education, we must accurately understand the structural and societal barriers that racial minority students face as they continue to access education resources and quality schools.     

Gendered segmented assimilation: earnings trajectories of African immigrant women and men

Racial stratification in immigrant earnings has been widely influential in theories of immigrant socioeconomic assimilation, but discussions of how racial stratification might differ by gender are underdeveloped. Segmented assimilation theory attempts to explain the underlying mechanisms that cause racial disparities, but it fails to incorporate gendered dynamics like occupational sex segregation and the feminization of particular labour flows. In this paper, we address that gap. Using data from the 1990 decennial census and the American Community Survey in 2009–11, we compare the earnings of black and white African migrants to US-born blacks and whites separately by gender. Our findings indicate that black African migrant women experience no racial disadvantage in their earnings, but black African migrant men do. Our results highlight the importance of examining racial differences in immigrant earnings interacting with gender.     

Visceral fat, waist circumference, and BMI: impact of race/ethnicity

Objective: BMI and waist circumference are used to define risk from excess body fat. Limited data in women suggest that there may be racial/ethnic differences in visceral adipose tissue (VAT) at a given BMI or waist circumference. This study tested the hypothesis that racial/ethnic differences exist in both men and women in the relationship of anthropometric measures of body composition and computed tomography (CT)‐determined VAT or subcutaneous adipose tissue (SAT). Methods and Procedures: Subjects included 66 African American, 72 Hispanic, and 47 white men and women, aged ≥ 45. Waist circumference and BMI were measured using standard methods. Total abdominal and L4L5 VAT and SAT were measured using CT. Results: Among both men and women, groups did not differ in waist circumference or BMI. White men had greater L4L5 VAT than African‐American men, and both white and Hispanic men had greater total VAT than African‐American men. Among women, Hispanics and whites had greater L4L5 VAT than African Americans, and Hispanics had greater total VAT than African Americans. The slope of the linear relationship between BMI or waist circumference and VAT was lower in African Americans than in Hispanics and/or whites. Discussion: Middle‐aged and older African‐American men and women had lower VAT despite similar BMI and waist circumference measurements. Altered relationships between anthropometric measures and VAT may have implications for defining metabolic risk in different populations. Different waist circumference or BMI cutoff points may be necessary to adequately reflect risk in different racial/ethnic groups.     

White ethnicity in twenty-first-century America: findings from a new national survey

The 1980s and early 1990s witnessed a great deal of research on white ethnicity. Yet since this time, few systematic empirical studies of white ethnicity have emerged. This paper uses data from a recent nationally representative survey of Americans to (re)assess white ethnicity in the twenty-first century. Three primary areas are explored: (1) the pervasiveness and salience of ethnic claims among white Americans; (2) the social and demographic characteristics of self-identified white ethnics; and (3) the impact of white ethnic identity on political opinions and racial attitudes. We find that a smaller but significant number of white Americans claim ethnicity today and that distinguishing social characteristics of white ethnics still remain. Contrary to current prevailing theoretical formulations, however, these markers of distinction do not appear to be related to political or racial attitudes in any systematic way.     

Stop ‘blaming the man’: perceptions of inequality and opportunities for success in the Obama era among middle-class African Americans

Abstract

This paper builds upon work that has shown that African Americans exhibit a dual consciousness when explaining persistent inequality. We draw upon 45 in-depth interviews with middle-class African Americans following the 2008 election to explore how they explain persistent disadvantage for African Americans, the destigmatization strategies they employ, and the impact they believe the election of Barack Obama will have on opportunities for African Americans. Consistent with dual consciousness theory, we find that respondents explain persistent disadvantage for African Americans by citing structural and motivational factors. We also extend previous work to show that for the majority of respondents the use of individualistic de-stigmatization strategies reinforces their dual consciousness. These respondents are optimistic about Obama's election because it supports their belief that African Americans should assume responsibility for improving their circumstances. A minority of respondents express more concern about the persistence of racial inequality, and consequentially are less optimistic about changes that Obama's election may bring about.     

Preserving racial hierarchy amidst changing racial demographics: how neighbourhood racial preferences are changing while maintaining segregation

Despite long-term, documented declines in racialized attitudes, racial inequality persists. Scholars have theorized why this dissonance exists but few have empirically demonstrated how views can become more progressive while simultaneously maintaining inequality. The present study uses neighbourhood racial preferences and their influence on racial residential segregation to demonstrate how in a diversifying context residents can become more “accepting” while simultaneously maintaining the racial hierarchy, the opposite of what most of the literature currently assumes. Using data from three distinct sources in the United States, this research finds that U.S. residents are increasingly willing to live amidst diversity yet whites still concentrate in white neighbourhoods. In short, white Americans are more willing to live in diverse neighbourhoods than in the past, but they are not willing to desegregate. We argue this preserves racial inequality. We conclude with a discussion of our findings and their implications for future research and practice.     

Exclusive recognition: against reductionism and distortion

This article analyses two dominant discourses of racial politics in Hawai'i and the work they do naturalizing haole (white people or whiteness in Hawai'i) in the islands. The first is the well-worn discourse of racial harmony representing Hawai'i as an idyllic racial paradise with no conflict or inequality. Frequently contrasting the islands with the ‘racist mainland’, this discourse circulates among many communities and is widely referenced. There is also a competing discourse of discrimination against non-locals which contends that haoles and non-local people of colour are disrespected and treated unfairly in Hawai'i. As negative referents for each other, these discourses work to reinforce one another and are historically linked. I suggest that the question of racial politics be reframed towards consideration of the processes of racialization themselves – towards a new way of thinking about racial politics in Hawai'i that breaks free of the not racist/racist dyad.     

Race, ethnicity, and health: can genetics explain disparities?

Over the past decade, numerous studies have documented profound racial and ethnic disparities in disease in the United States. This essay examines how popular and scientific concepts of race and ethnicity converge with dominant understandings of genetics to inform the design and interpretation of research, public health policy, and medical practice. Although there is some acknowledgment in the biomedical community that racial and ethnic categories are social and not genetic, ideas about race and ethnicity that circulate in biomedicine are contradictory. Thus, in practice genetic explanations for observed differences are common both in the scientific literature and in popular media accounts of biomedical research. Such explanations naturalize racial and ethnic difference and create a conceptual barrier to developing a research program that explores the complex ways in which social inequality and experiences of racial discrimination interact with human biology to influence patterns of disease. Importantly, genetically based ideas lead to disease prevention policies that are bound to be ineffective.     

Surfing the third wave of whiteness studies: reflections on Twine and Gallagher

The influential special issue and overview essay co-edited and co-authored respectively, by Winddance Twine and Charles Gallagher, set out their interpretation of whiteness studies’ genealogy, development and future. In this essay I identify their arguments and critique them in the light of a further eight years’ work on the racialization of white identities produced by the global academy. Particular attention is paid to the proliferation of micro studies about an ever-increasing array of sites, both in thematic and international terms, and to the corpus’ addressing of power relations. Moreover, I underscore Twine and Gallagher’s prescience on the strand of the work they review that bears on the racial project of recuperating white supremacy in a variety of ways, a project that is enjoying heightened visibility in 2016.     

Race matters in lesbian donor insemination: whiteness and heteronormativity as co-constituted narratives

As in other areas of social life where the privileging of whiteness is rendered invisible, the donor insemination choices of white lesbians making individual choices about the race of potential children are de-racialized and de-politicized. Using qualitative data, we focus on how white women who choose white donors rely on racial markers, while avoiding overt discussions of race, to explain their racial preferences in childrearing. The individuals we interviewed rarely questioned their decision to use white donors, or even verbally acknowledged their decision. For instance, while no participants explicitly stated, ‘I wanted a white child’, they did display preferences in terms of skin colour, hair colour, eye colour, and ethnicity. That is, individuals assumed whiteness and assumed this decision did not have to be explained. Our research deconstructs this narrative and challenges its invisibility.     

Public opinion,prejudice and the racialization of welfare in Canada

Drawing on a unique survey experiment in the 2011 Canadian Election Study data set, this paper examines the ways in which racial cues influence attitudes towards redistributive policy. While work in the USA points to a strong racialization of welfare attitudes, little research explores the ways in which racial cues may structure attitudes about welfare elsewhere. In the Canadian context, Aboriginal peoples have faced both historic persecution and continue to face severe discrimination. They also experience much higher levels of poverty than other groups in Canada. Our results examine the effect that (hypothetical) Aboriginal recipients have on public support for social assistance. Results suggest that respondents' support for redistribution is lower when recipients are Aboriginal rather than white. As we have seen in the USA, then, support for welfare is related to racialized perceptions about those who benefit from social assistance.     

Weight loss and health outcomes in African Americans and whites after gastric bypass surgery

Objective: The objective was to describe differences in weight loss, dietary intake, and cardiovascular risk factors between white and African‐American patients after gastric bypass (GBP). Research Methods and Procedures: This was a retrospective database review of a sample of 84 adult patients (24 African‐American and 60 white women and men) between the ages of 33 and 53 years. All subjects had GBP surgery in 2001 at the Bariatric Surgery Program at Boston Medical Center in Boston, MA, and were followed for one year postoperatively. Patients were excluded if weight data were missing at baseline, 3 months, or 1 year after GBP. A total of 9 African Americans and 41 whites provided data at all 3 time‐points and were included in the study. Differences in weight loss, diet, and cardiovascular risk factors were analyzed. Results: There were no differences in baseline characteristics between African Americans and whites. Mean weight loss for the entire sample was 36 ± 9%, with a range of 8% to 54% relative to initial body weight. Whites lost more weight (39 ± 8%) than African Americans (26 ± 10%) (p < 0.05). Dietary parameters, as well as improvements in blood pressure and lipid profiles, were similar in the two racial groups. Discussion: Differences in weight loss between severely obese African Americans and whites undergoing open GBP are unlikely to be related to postoperative dietary practices. Our data are consistent with previous reports implicating metabolic differences between the two racial groups.     

Christian nationalism and white racial boundaries: examining whites' opposition to interracial marriage

How does the convergence of national and religious identities potentially fortify white racial boundaries in the USA? Focusing on openness to racial exogamy as an indicator of racial boundaries, we examine the link between Christian nationalism and white Americans' views towards their hypothetical daughter marrying an African American, Latino, or Asian. Drawing on insights from social identity complexity theory, we argue that the convergence of religious and national identities serves to reinforce in-group boundaries, thereby fortifying notions of white purity, and consequently, strengthening whites' discomfort with potential race-mixing in marriage. Multivariate analyses of national survey data demonstrate that Christian nationalism is strongly associated with an increase in white Americans' discomfort with a daughter marrying any racial minority, and particularly African Americans. We demonstrate how the convergence of religious and national identities in Christian nationalism influences whites' regulating of racial boundaries (evidenced in intermarriage attitudes) above and beyond the independent effects of political conservatism or religious exclusivism.     

Use and Abuse of Race and Culture: Black-Korean Tension in America

Tensions between African American residents and Korean immigrant merchants in inner-city neighborhoods have occurred in several cities, culminating in the 1992 Los Angeles riots and uprising. The media sees this conflict as racial, while black and Korean community leaders explain it in terms of cultural differences. Meanwhile, scholars emphasize economic factors. Each of these explanations fails to uncover the central role of white racism in this conflict and the underlying racial hierarchy in America (white-Asian-black).     

Racial Differences in Insulin Secretion and Sensitivity in Prepubertal Children: Role of Physical Fitness and Physical Activity

Objective: To investigate in prepubertal children whether physical fitness and/or physical activity are: 1) associated with insulin secretion and sensitivity and 2) account for racial differences in insulin secretion and sensitivity. Research Methods and Procedures: Subjects included 34 African American and 34 white nondiabetic children aged 5 to 11 years. Data were divided into two sets according to the availability of VO_2max and physical activity data. Body composition was measured by dual‐energy X‐ray absorptiometry. Subcutaneous abdominal adipose tissue and intra‐abdominal adipose tissue were examined by computed tomography. Insulin sensitivity (S_I) and acute insulin response (AIR) were determined by a frequently sampled intravenous glucose tolerance test. An all‐out, progressive treadmill exercise test was used for measuring VO_2max. Physical activity data were collected by questionnaire. Results: African American children had lower S_I and higher AIR than white children, after adjusting for total body fat mass. African Americans reported higher levels of physical activity (hours/wk) than whites, but had a lower VO_2max. In multiple linear regression analysis, hours/wk of activity and hours/wk of vigorous activity, but not moderate activity, were independently related to S_I and AIR after adjusting for race, total body fat mass or fat distribution, and total lean tissue mass. VO_2max was not related to AIR, and was inversely related to S_I, after adjusting for body composition. Race remained significantly associated with both S_I and AIR, even after adjusting for body composition, fat distribution, and hours/wk of activity or hours/wk of vigorous activity. Discussion: In summary, overall physical activity and, especially, vigorous activity were associated with insulin secretion and sensitivity. However, neither physical activity nor VO_2max explained the racial difference in insulin secretion (higher in African Americans) and sensitivity (lower in African Americans). Thus, racial (African American to white) differences in aspects of insulin action seem to be due to factors other than body composition, fat distribution, cardiovascular fitness, and amount of physical activity.     

Differences between African Americans and Whites in their attitudes toward genetic testing for Alzheimer's disease

The possibility of predictive genetic testing for Alzheimer's disease (AD) has prompted examination of public attitudes toward this controversial new health-care option. This is the first study to examine differences between Whites and African Americans with regard to: (1) interest in pursuing genetic testing for AD, (2) reasons for pursuing testing, (3) anticipated consequences of testing, and (4) beliefs about testing. We surveyed a convenience sample of 452 adults (61% white; 39% African American; 78% female; mean age = 47 years; 33% with family history of AD). Both racial groups indicated general interest in predictive genetic testing for AD, viewed it as having many potential benefits, and believed it should be offered with few restrictions. However, in comparison to whites, African Americans showed less interest in testing (p < 0.01), endorsed fewer reasons for pursuing it (p < 0.01), and anticipated fewer negative consequences from a positive test result (p < 0.001). These preliminary findings show important distinctions between whites and African Americans in their attitudes toward genetic testing for AD. These differences may have implications for how different racial and ethnic groups will respond to genetic testing programs and how such services should be designed. Future research in real-life testing situations with more representative samples will be necessary to confirm these racial and cultural differences in perceptions of genetic testing.     

Establishing the Fact of Whiteness

Surveying public discourses on race, one suspects that anthropologists and academics are struggling to keep pace with the innovations and obsessions this subject generates in popular culture. But academic discussions of whiteness and the way it operates may provide a means of altering the terms of racial debates. As an analytical object, whiteness is being established as a powerful means of critiquing the reproduction and maintenance of systems of racial inequality. Studies of whiteness are demonstrating that whites benefit from a host of social arrangements and institutional operations that seem, to whites, to have no racial basis.     

Racial and ethnic differences in perceptions of discrimination among Muslim Americans

I use data from the 2011 Pew Survey (N?=?1,033) to examine the prevalence and correlates of perceived discrimination across Muslim American racial/ethnic groups. Asian Muslims report the lowest frequency of perceived discrimination than other Muslim racial/ethnic groups. Nearly, all Muslim racial/ethnic groups have a few times higher odds of reporting one or more types of perceived discrimination than white Muslims. After controlling for socio-demographic characteristics, the observed relationships persist for Hispanic Muslims but disappear for black and other/mixed race Muslims. Women are less likely than men to report several forms of discrimination. Older Muslims report lower rates of perceived discrimination than younger Muslims. White Muslim men are more likely to report experiencing discrimination than white, black and Asian Muslim women. The findings highlight varying degrees of perceived discrimination among Muslim American racial/ethnic groups and suggest examining negative implications for Muslims who are at the greatest risk of mistreatment.