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Race is a social construct, not a biological indicator for health. This paper argues against race-based medicine, advocating for "racism" as a more accurate variable in health research to address disparities.

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Area of Science:

  • Public Health
  • Medical Ethics
  • Sociology of Health

Background:

  • Systemic racism persists in healthcare, manifesting as unscientific race-based medicine.
  • The use of race as a biological indicator in health research is increasingly questioned.
  • Health disparities are often inaccurately attributed to race rather than social determinants.

Purpose of the Study:

  • To critique the scientific validity of using race as a biological predictor in health outcomes.
  • To challenge the narrative that places blame for racial discrimination on victims.
  • To propose replacing the variable "race" with "racism" in health research.

Main Methods:

  • Literature review and critical analysis of existing research employing race as a variable.
  • Examination of the social and historical construction of race.
  • Development of arguments for alternative explanatory variables for health disparities.

Main Results:

  • Race lacks a scientific basis for predicting health outcomes.
  • Using race as a variable can obscure systemic discrimination and reinforce harmful narratives.
  • Alternative explanations for health disparities, focusing on social and environmental factors, are more scientifically sound.

Conclusions:

  • The concept of race as a biological determinant of health is unscientific and ethically problematic.
  • Replacing "race" with "racism" as a variable in health research can more accurately identify and address systemic inequities.
  • This shift is crucial for confronting racism in public health and promoting health equity.