Anti-Black discrimination in primary health care: a qualitative study exploring internalized racism in a Canadian context
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View abstract on PubMed
Summary
This summary is machine-generated.Internalized racism significantly impacts healthcare experiences for Black individuals in Canada. Addressing multiple levels of racism is crucial for achieving health equity in Black communities.
Area Of Science
- Health Equity Research
- Sociology of Health
- Racial Discrimination Studies
Background
- Persistent health inequities exist within racialized minority communities.
- Racial discrimination significantly affects health outcomes and healthcare experiences.
- Limited research has explored internalized racism's impact on healthcare, particularly within Black communities.
Purpose Of The Study
- To explore patients' attitudes towards anti-Black racism in Canadian healthcare.
- To specifically investigate internalized racism within primary healthcare settings.
- To understand how internalized racism affects the healthcare experiences of Black individuals.
Main Methods
- Qualitative study using purposive maximal variation and snowball sampling.
- In-depth phenomenological interviews with self-identified Black persons in Montréal (n=32).
- Interviews conducted between October 2021 and July 2022, analyzed thematically.
Main Results
- Three key themes emerged regarding internalized racism's manifestation in healthcare.
- Theme 1: Internalization of anti-Black racism by both Black providers and patients.
- Theme 2: Expression of anti-Black prejudice by non-Black racialized minority providers.
- Theme 3: Insensitivity towards racial discrimination within the healthcare system.
Conclusions
- Addressing multiple levels of racism, including internalized racism, is essential for health equity.
- Interventions must focus on promoting health and equitable healthcare experiences for Black communities.
- Study highlights the need for systemic changes to combat racism in healthcare.
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