Apolipoprotein E and Alzheimer's disease pathology in African American older adults

The apolipoprotein-E4 (APOE*4) and apolipoprotein-E2 (APOE*2) alleles are more common in African American versus non-Hispanic white populations, but relationships of both alleles with Alzheimer's disease (AD) pathology among African American individuals are unclear. We measured APOE allele and β-amyloid (Aβ) and tau using blood samples and positron emission tomography (PET) images, respectively. Individual regression models tested associations of each APOE allele with Aβ or tau PET overall, stratified by racialized group, and with a racialized group interaction. We included 358 older adults (42% African American) with Aβ PET, 134 (29% African American) of whom had tau PET. APOE*4 was associated with higher Aβ in non-Hispanic white (P < 0.0001), but not African American (P = 0.64) participants; racialized group modified the association between APOE*4 and Aβ (P < 0.0001). There were no other racialized group differences. These results suggest that the association of APOE*4 and Aβ differs between African American and non-Hispanic white populations. Other drivers of AD pathology in African American populations should be identified as potential therapeutic targets.

Unhealthy white matter connectivity, cognition, and racialization in older adults

INTRODUCTION

White matter hyperintensities (WMH) may promote clinical Alzheimer's disease (AD) disparities between Black American (BA) and non-Hispanic White (nHW) populations. Using a novel measurement, unhealthy white matter connectivity (UWMC), we interrogated racialized group differences in associations between WMH in AD pathology-affected regions and cognition.

METHODS

UWMC is the proportion of white matter fibers that pass through WMH for every pair of brain regions. Individual regression models tested associations of UWMC in beta-amyloid (Aβ) or tau pathology-affected regions with cognition overall, stratified by racialized group, and with a racialized group interaction.

RESULTS

In 201 older adults ranging from cognitively unimpaired to AD, BA participants exhibited greater UWMC and worse cognition than nHW participants. UWMC was negatively associated with cognition in 17 and 5 Aβ- and tau-affected regions, respectively. Racialization did not modify these relationships.

DISCUSSION

Differential UWMC burden, not differential UWMC-and-cognition associations, may drive clinical AD disparities between racialized groups.

HIGHLIGHTS

Unhealthy white matter connectivity (UWMC) in Alzheimer's disease (AD) pathology-affected brain regions is associated with cognition. Relationships between UWMC and cognition are similar between Black American (BA) and non-Hispanic White (nHW) individuals. More UWMC may partially drive higher clinical AD burden in BA versus nHW populations. UWMC risk factors, particularly social and environmental, should be identified.

"Kita habis…we will be gone": The politics of population, family planning and racialization in West Papua

In the context of a steadily decreasing Indigenous population, active military occupation, and a documented history of human rights abuses perpetrated by Indonesian state security forces, Black Indigenous Papuans have uttered phrases like extinction, and we will be gone in public and private spaces. These utterances often follow an indictment of Indonesia's national family planning program as a key node of state apparatuses of domination and, by extension, genocide. Amid Indonesia's global health success story of a historically lauded national family planning model, I examine the emergence of a local pronatalist program in which health workers are both providers and deniers of access to birth control. Through highlighting this story of Indigenous refusal and racial survival in the terrain of women's reproduction the stakes of a necropolitical environment marked by occupation, population control, and fears of genocide are brought into high relief.

The Equity Agenda in Intellectual and Developmental Disabilities Research

This commentary on Kover and Abbeduto (2023) underscores the critical importance of naming and framing toward an equity agenda in intellectual and developmental disabilities research. More specifically, I briefly outline (1) why racialization is an important anchor in IDD discourse; (2) whiteness as a necessary point of discussion; and (3) the adoption of critical inquiry and critical praxis.

Racialization, colonialism, and imperialism: a critical autoethnography on the intersection of forced displacement and race in a settler colonial context

Migration has been identified as a priority area for policy responses by both the federal and provincial/territorial governments yet, much of our knowledge about migration is not premised on addressing current xenophobic and racist narratives about migrants. The purpose of this research is an interrogation of Canada's colonialism, imperialism, and racialization, which produce specific oppressive policies and practices that have impacted my family. This research is premised on the understanding that in the space between what is known about migration in Canada and what is not, a great deal of narrative and interpretive work is done that makes assumptions about migrants, specifically forcibly displaced people from the Global South. Through a critical autoethnography focused on my lived experiences as a descendant of forcibly displaced Chinese-Vietnamese people living in a settler colonial nation state, this study critiques to what extent these assumptions are founded, and to what extent they represent a socio-political climate in which migration is set out as particular problems requiring a legal and policing solution. In particular, my analysis centers anti-colonialism and anti-racism, shifting to resistance to systemic violence and liberation, while considering the discursive and on-the-ground effects of racist, colonial, and imperial policies and practice. Set against the backdrop of the rise of white nationalism, xenophobia, and racism across all levels of government and academia, and the general public, the results of this study produce a counter-narrative focused on the intersection of forced displacement and race in a settler colonial context, which is both timely and urgent.

Operationalizing racialized exposures in historical research on anti-Asian racism and health: a comparison of two methods

Background

Addressing contemporary anti-Asian racism and its impacts on health requires understanding its historical roots, including discriminatory restrictions on immigration, citizenship, and land ownership. Archival secondary data such as historical census records provide opportunities to quantitatively analyze structural dynamics that affect the health of Asian immigrants and Asian Americans. Census data overcome weaknesses of other data sources, such as small sample size and aggregation of Asian subgroups. This article explores the strengths and limitations of early twentieth-century census data for understanding Asian Americans and structural racism.

Methods

We used California census data from three decennial census spanning 1920-1940 to compare two criteria for identifying Asian Americans: census racial categories and Asian surname lists (Chinese, Indian, Japanese, Korean, and Filipino) that have been validated in contemporary population data. This paper examines the sensitivity and specificity of surname classification compared to census-designated "color or race" at the population level.

Results

Surname criteria were found to be highly specific, with each of the five surname lists having a specificity of over 99% for all three census years. The Chinese surname list had the highest sensitivity (ranging from 0.60-0.67 across census years), followed by the Indian (0.54-0.61) and Japanese (0.51-0.62) surname lists. Sensitivity was much lower for Korean (0.40-0.45) and Filipino (0.10-0.21) surnames. With the exception of Indian surnames, the sensitivity values of surname criteria were lower for the 1920-1940 census data than those reported for the 1990 census. The extent of the difference in sensitivity and trends across census years vary by subgroup.

Discussion

Surname criteria may have lower sensitivity in detecting Asian subgroups in historical data as opposed to contemporary data as enumeration procedures for Asians have changed across time. We examine how the conflation of race, ethnicity, and nationality in the census could contribute to low sensitivity of surname classification compared to census-designated "color or race." These results can guide decisions when operationalizing race in the context of specific research questions, thus promoting historical quantitative study of Asian American experiences. Furthermore, these results stress the need to situate measures of race and racism in their specific historical context.

Exploring racism and racialization in the work of healthcare chaplains: a case for a critical multifaith approach

The global COVID-19 pandemic has revealed healthcare settings as sites of much-needed scrutiny as to the workings of racism and racialization in shaping healthcare encounters, health outcomes, and workplace conditions. Little research has focused on how healthcare chaplains experience and respond to social processes of racism and racialization. We apply a critical race lens to understand racism and racialization in healthcare chaplaincy, and inspired by Patricia Hill Collins, propose a "critical multifaith approach." Drawing on research in healthcare in Canada and England, we generated four composite narratives to analyze racialization's variability and resistances employed by Indigenous, Arab, Black, and White chaplains. The composites disclose complex intersecting histories of colonialism, religion, race, and gender. Developing a critical multifaith perspective on healthcare delivery is an essential competency for chaplains wanting to impact the systems in which they serve in the direction of more equitable human flourishing.

Cross-Canada Variability in Blood Donor SARS-CoV-2 Seroprevalence by Social Determinants of Health

We compared the seroprevalence of SARS-CoV-2 anti-nucleocapsid antibodies in blood donors across Canadian regions in 2021. The seroprevalence was the highest in Alberta and the Prairies, and it was so low in Atlantic Canada that few correlates were observed. Being male and of young age were predictive of seropositivity. Racialization was associated with higher seroprevalence in British Columbia and Ontario but not in Alberta and the Prairies. Living in a materially deprived neighborhood predicted higher seroprevalence, but it was more linear across quintiles in Alberta and the Prairies, whereas in British Columbia and Ontario, the most affluent 60% were similarly low and the most deprived 40% similarly elevated. Living in a more socially deprived neighborhood (more single individuals and one parent families) was associated with lower seroprevalence in British Columbia and Ontario but not in Alberta and the Prairies. These data show striking variability in SARS-CoV-2 seroprevalence across regions by social determinants of health. IMPORTANCE Canadian blood donors are a healthy adult population that shows clear disparities associated with racialization and material deprivation. This underscores the pervasiveness of the socioeconomic gradient on SARS-CoV-2 infections in Canada. We identify regional differences in the relationship between SARS-CoV-2 seroprevalence and social determinants of health. Cross-Canada studies, such as ours, are rare because health information is under provincial jurisdiction and is not available in sufficient detail in national data sets, whereas other national seroprevalence studies have insufficient sample sizes for regional comparisons. Ours is the largest seroprevalence study in Canada. An important strength of our study is the interpretation input from a public health team that represented multiple Canadian provinces. Our blood donor seroprevalence study has informed Canadian public health policy at national and provincial levels since the start of the SARS-CoV-2 pandemic.

COVID-19 Vaccination Rollout: Aspects of Hesitancy in South Africa

Across the globe, comprehensive COVID-19 vaccination programs have been rolled out. Naturally, it remains paramount for efficiency to ensure uptake. Hypothetical vaccine acceptability in South Africa was high prior to the availability of inoculation in August 2020-three-quarters stated intent to immunize nationally. However, 24 months on, less than one-third have finished their vaccination on a national average, and in the sprawling South Western Townships (Soweto), this figure remains troublingly low with as many as four in every five still hesitant. Medical anthropologists have recently portrayed how COVID-19's jumbled mediatization produces a 'field of suspicion' casting serious doubt on authorities and vaccines through misinformation and counterfactual claims, which fuels 'othering' and fosters hesitancy. It follows that intent to immunize cannot be used to predict uptake. Here, we take this conceptual framework one step further and illustrate how South African context-specific factors imbricate to amplify uncertainty and fear due the productive nature of communicability, which transforms othering into racialization and exacerbates existing societal polarizations. We also encounter Africanized forms of conspiracy theories and find their narrational roots in colonization and racism. Finally, we discuss semblances with HIV and how the COVID-19 pandemic's biomedicalization may inadvertently have led to vaccine resistance due to medical pluralism and cultural/spiritual practices endemic to the townships.

Psychologists as leaders in equitable science: Applications of antiracism and community participatory strategies in a pediatric behavioral medicine clinical trial

Psychologists have an ethical responsibility to advance health equity and can play a significant role in improving health care experiences for families racialized as Black, including those with sickle cell disease (SCD), a group of genetic blood disorders primarily affecting communities of color. Parents of children with SCD report experiences of stigma and discrimination due to racism in the health care system. The current commentary describes the application of antiracism and participatory strategies to the research design, implementation, and dissemination of a behavioral medicine clinical trial (Engage-HU; NCT03442114) of shared decision-making (SDM) for pediatric patients with SCD, including (a) the development of a research question to promote justice for racialized groups; (b) a focus on "redressing imbalances" through SDM and a multidisciplinary, inclusive research team led by a Black psychologist; (c) community participatory approaches through the integration of stakeholder feedback across the study; and (d) centering context by attending to structural realities in response to the COVID-19 and racism pandemics. With attention to the fact that most primary caregivers of children with SCD are Black women, an intersectionality lens was applied. Implications and considerations for psychologists working to advance health equity in medical settings are also discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

On the precariousness of address: What narratives of being called White can tell us about researching and re/producing social categories in research

Social categories hold a steadfast place within social psychological research and theory. Reflecting on the use of social categories in everyday life as well as social psychological research and theory, this article critically interrogates the privileging of hegemonic Western ways of categorizing, addressing and locating people over how they are read and categorized in other socio-cultural contexts. This article draws on four excerpts of women narrating experiences of being called White, Oborɔnyi or mzungu (engl. foreigner, wanderer, White person) during their travels to the African continent. The article first excavates, phenomenologically, the precariousness of being addressed as White, Oborɔnyi or mzungu. Next, a reflexive account is presented to contemplate how racialization happens in and through the research process. By bringing together phenomenological interpretation and reflexivity, the article explores the limits of researcher and researched positionality in making sense of White as a precarious address, and argues for a view that the meaning of White is established in a four-way conversation between interviewee, African Other, interviewer and our own culture-specific inner eyes. The article thus advocates for scholars to give more attention to how our inner eyes limit how we name, describe and theorize our research.

Breaking all moulds? Racialized romance between white/yang women and Chinese men

Following increased international migration to China, the number of relationships between foreign women and Chinese men has risen. This article studies how 'white women' are racialized in the Chinese context through analysing the meaning of the term yang. Based on an analysis of online content about these relationships in English and Chinese, this article demonstrates that different racial frameworks interact when the meaning of race is negotiated in romantic relationships that are not only racialized, but also international and multilingual. Finally, it shows how racial narratives are sometimes reproduced through white/yang women's accounts aimed at negating negative stereotypes about their husbands.

Mexican-Origin Women's Construction and Navigation of Racialized Identities: Implications for Health Amid Restrictive Immigrant Policies

This study examines how Mexican-origin women construct and navigate racialized identities in a postindustrial northern border community during a period of prolonged restrictive immigration and immigrant policies, and it considers mechanisms by which responses to racialization may shape health. This grounded theory analysis involves interviews with 48 Mexican-origin women in Detroit, Michigan, who identified as being in the first, 1.5, or second immigrant generation. In response to institutions and institutional agents using racializing markers to assess their legal status and policing access to health-promoting resources, women engaged in a range of strategies to resist being constructed as an "other." Women used the same racializing markers or symbols of (il)legality that had been used against them as a malleable set of resources to resist processes of racialization and to form, preserve, and affirm their identities. These responses include constructing an authorized immigrant identity, engaging in immigration advocacy, and resisting stigmatizing labels. These strategies may have different implications for health over time. Findings indicate the importance of addressing policies that promulgate or exacerbate racialization of Mexican-origin communities and other communities who experience growth through migration. Such policies include creating pathways to legalization and access to resources that have been invoked in racialization processes, such as state-issued driver's licenses.

Racialized disablement and the need for conceptual analysis of "racial health disparities"

It is well established that racial health disparities are impacted by structural racism, but the imbrication of racialization processes with processes of disablement remains underdeveloped. This essay advocates for a conceptual lens that looks historically and politically at the co-constitution of "race" and "disability." Racism and ableism intersect in ways that manifest what I call racialized disablement, a key heuristic for building a fuller understanding of "race" and "racial health disparities." This terminology, I propose, helps illuminate the following about race and racism in healthcare: first, racialized disablement seeks to denaturalize both race and disability to focus on their political production. Using process-based terms related to both race and disability heightens the sense in which neither inhere in particular, individual bodies, but rather persist in contexts of ongoing structural oppressions, materializing populations subject to racialization and disablement. Secondly, and relatedly, racialized disablement aims to identify racism and ableism as co-constitutive-historically, politically, and conceptually intertwined. Without an awareness of the fluidity of race- and disability-based markers and the systems of power generating their materialization, our understandings of racial disparities in health and healthcare are incomplete.

Humanizing racialization: Social psychology in a time of unexpected transformational conjunctions

The unexpected transformations produced by the conjunction of COVID-19, the murder of George Floyd and the resurgence of Black Lives Matter highlight the importance of social psychological understandings and the need for a step change in theorization of the social. This paper focuses on racialization. It considers issues that social psychology needs to address in order to reduce inequalities and promote social justice. It draws on theoretical resources of intersectionality and hauntology to illuminate the ways in which social psychological research frequently makes black people visible in ways that exclude them from normative constructions. The final main part of the paper presents an analysis of an interview with the racing driver Lewis Hamilton to illustrate possible ways of humanizing racialization by giving recognition to the multiplicity and historical location of racialized positioning. The paper argues that, while social psychology has made vital contributions to the understanding of group processes and of racisms, there remains a need to humanize racialization by conducting holistic analyses of black people's (and others') intersectional identities.

Abandon "Race." Focus on Racism

The concept of "race" emerged in the 1600s with the trans-Atlantic slave trade, justifying slavery; it has been used to justify exploitation, denigration and decimation. Since then, despite contrary scientific evidence, a deeply-rooted belief has taken hold that "race," indicated by, e.g., skin color or facial features, reflects fundamental biological differences. We propose that the term "race" be abandoned, substituting "ethnic group" while retaining "racism," with the goal of dismantling it. Despite scientific consensus that "race" is a social construct, in official U.S. classifications, "Hispanic"/"Latino" is an "ethnicity" while African American/Black, American Indian/Alaska Native, Asian/Pacific Islander, and European American/White are "races." There is no scientific basis for this. Each grouping reflects ancestry in a particular continent/region and shared history, e.g., the genocide and expropriation of Indigenous peoples, African Americans' enslavement, oppression and ongoing disenfranchisement, Latin America's Indigenous roots and colonization. Given migrations over millennia, each group reflects extensive genetic admixture across and within continents/regions. "Ethnicity" evokes social characteristics such as history, language, beliefs, customs. "Race" reinforces notions of inherent biological differences based on physical appearance. While not useful as a biological category, geographic ancestry is a key social category for monitoring and addressing health inequities because of racism's profound influence on health and well-being. We must continue to collect and analyze data on the population groups that have been racialized into socially constructed categories called "races." We must not, however, continue to use that term; it is not the only obstacle to dismantling racism, but it is a significant one.

Narratives Shape Cognitive Representations of Immigrants and Immigration-Policy Preferences

Scholars from across the social and media sciences have issued a clarion call to address a recent resurgence in criminalized characterizations of immigrants. Do these characterizations meaningfully impact individuals' beliefs about immigrants and immigration? Across two online convenience samples (total N = 1,054 adult U.S. residents), we applied a novel analytic technique to test how different narratives-achievement, criminal, and struggle-oriented-impacted cognitive representations of German, Russian, Syrian, and Mexican immigrants and the concept of immigrants in general. All stories featured male targets. Achievement stories homogenized individual immigrant representations, whereas both criminal and struggle-oriented stories racialized them along a White/non-White axis: Germany clustered with Russia, and Syria clustered with Mexico. However, criminal stories were unique in making our most egalitarian participants' representations as differentiated as our least egalitarian participants'. Narratives about individual immigrants also generalized to update representations of nationality groups. Most important, narrative-induced representations correlated with immigration-policy preferences: Achievement narratives and corresponding homogenized representations promoted preferences for less restriction, and criminal narratives promoted preferences for more.

Racialization in nursing: Rediscovering Antonio Gramsci's concepts of hegemony and subalternity

Although Gramsci's notions of hegemony and subalternity may seem outdated in this 21^st century, a critical examination of the literature shows that these concepts apply in this global pandemic and political context. Racialization is a form of structural violence. In this paper, I also explore Gramsci's' notion of engaged intellectuals to support the idea of social and political activism in nursing. Nurse scholars call for the decolonization of the discipline. Gramsci's philosophical approach to hegemony can be extended to racialization in nursing. Gramsci's notions of civil society and state can help nurses to see the structures that create racism in nursing and society.

Janus-faced race: Is race biological, social, or mythical?

As belief in the reality of race as a biological category among U.S. anthropologists has fallen, belief in the reality of race as a social category has risen in its place. The view that race simply does not exist-that it is a myth-is treated with suspicion. While racial classification is linked to many of the worst evils of recent history, it is now widely believed to be necessary to fight back against racism. In this article, I argue that race is indeed a biological fiction, but I critique the claim that race is socially real. I defend a form of anti-realist reconstructionism about race, which says that there are no races, only racialized groups-groups mistakenly believed to be races. I argue that this is the most attractive position about race from a metaphysical perspective, and that it is also the position most conductive to public understanding and social justice.

Race and Filipina/o drug use: rethinking ethnicity among Filipina/o Americans through drug consumption, racial profiling, and the social construction of ethnicity

This research uses 23 in-depth interviews of Filipina/o Americans seeking out treatment for drug use to understand the role of ethnicity as they experience drug use, recovery, and attempts to integrate back into society. Past literature has focused on the role of ethnicity as a buffer against drug use in host societies, with highly acculturated groups more prone to at-risk behavior. Such scholarship usually relies on static notions of ethnic culture. By contrast, using a social constructionist approach to ethnicity, I argue that meanings of ethnicity to the users go beyond homeland traditions and, in this case, reflect racialized police profiling of users in their neighborhoods and also their understanding of the methamphetamine epidemic in the Philippines. The interviewees affiliate their ethnic experiences with larger social conditions that point to neocolonialism in the homeland, racialization in the host society, and the war on drugs in both countries. This has implications for treatment programs that use culturally-appropriate services for addiction programs, so that providers complicate acculturation and assimilation models of ethnicity to understand social factors that affect the meaning of ethnic identity for Filipina/os.

Racialized sexualization & agency in exotic dance among women

Through the analysis of two years of ethnographic observations and 40 in-depth interviews with a collective of Black and Puerto Rican exotic dancers (referred to herein as "Divine Dancers") who perform exotic dance for other women, this article explores how spatial expressions of sexuality within the context of a woman-only exotic dance venue enables both the resistance and reinforcement of circulating discourses of race, gender, and sexuality that construct sexual desirability under the male gaze. In contrast to literatures on exotic dance that center the heteromasculinist arrangement of the U.S. gentleman's club, this article centers the construction of a woman-only exotic dance space that is absent of men and white women. I situate this analysis within critiques put forward by the feminist sex wars to argue that space and place, in tandem with racialized sexualization, shapes women's potential to enact agency in the domain of exotic dance. In this article, I focus on the contestation of whiteness as a normative standard of beauty by Divine Dancers, and the ways in which norms regarding touch and intimacy are regulated within this exotic dance setting, which I argue allows for new interactions between dancers and audience members. This article disrupts binary understandings of exotic dance as either exploitative or demeaning, focusing instead on dancers' interpretations of agency as expressed through the body in space. I find that the extent to which Divine Dancers find this spatial context sexually empowering is shaped through gendered sexuality and their experiences with racialized sexualization.

Measuring racial microaggression in medical practice

The purpose of this study was to validate the already existing Racial Microaggression in Counseling Scale (RMCS) when the term 'therapist' was replaced with 'physician', thus constituting the modification as the Racial Microaggression in Medical Practice Scale (RMMPS). Racial microaggressions work at reinforcing inferior social status on a cognitive level. Unlike overt racism, messages behind microaggression are subtler and more every day. A lack of acceptance, respect, and regard emerges from interactions in medical contexts as there are layers of in-group and out-group statuses at play (e.g. physician-patient, Black-White, expert-lay, and Westernized-alternative). The layer focused on in this study was that of race or skin color. A sample of racial minorities in the Northeast (n = 91) was investigated both quantitatively and qualitatively to validate the modification and future use of a RMMPS. The scale was related to the racial incongruence between patient and provider. Qualitative findings support the original concepts and themes used when developing the 10-item measure in a counseling setting. Psychometric findings for the scale also supported its factorial structure using generalizability theory estimates. Future implications of this research relate to health behavior, trustworthiness, and health outcomes of minority patients. Its potential for use among various practitioners, educators, and researchers is also discussed.

In/visibly different: Melania Trump and the othering of Eastern European women in US culture

This article offers a "feminist critical discourse analysis" of the Saturday Night Live sketch "Melanianade." It argues that the comical video reinforces and essentializes negative stereotypes of Eastern European women to depict Melania Trump, seeking to delegitimize white hegemonic masculinity and female complicity. The fictitious Melania Trump's appearance needs to be understood in her co-construction with her white hegemonic husband and otherwise racialized women in the comedy sketch. These women are the African-American women of Beyoncé's video "Sorry," which "Melanianade" copies/satirizes. "Sorry" represents Black female US-American experience, and was broadly understood as Black feminist art/activism. Taking Beyoncé's place in the video, the fictitious Melania Trump is co-constructed to the absent black feminist bodies as white non-feminist Eastern European Other. Using Beyoncé's video as a template, "Melanianade" re-affirms a discourse of Otherness that re-establishes the enlightened and emancipated educated (white) feminist American non-immigrant woman as norm, while it also whitewashes the Black American experience, which "Sorry" stands for.

What's Your "Street Race"? Leveraging Multidimensional Measures of Race and Intersectionality for Examining Physical and Mental Health Status Among Latinxs

Using the 2015 Latino National Health and Immigration Survey (N= 1,197) we examine the relationship between physical and mental health status and three multidimensional measures of race: 1) "street race," or how you believe other "Americans" perceive your race at the level of the street; 2) socially assigned race or what we call "ascribed race," which refers to how you believe others usually classify your race in the U.S.; and 3) "self-perceived race," or how you usually self-classify your race on questionnaires. We engage in intersectional inquiry by combining street race and gender. We find that only self-perceived race correlates with physical health and that street race is associated with mental health. We also find that men reporting their street race as Latinx1 or Arab were associated with higher odds of reporting worse mental health outcomes. One surprising finding was that, for physical health, men reporting their street race as Latinx were associated with higher odds of reporting optimal physical health. Among women, those reporting their street race as Mexican were associated with lower odds of reporting optimal physical health when compared to all other women; for mental health status, however, we found no differences among women. We argue that "street race" is a promising multidimensional measure of race for exploring inequality among Latinxs.

Women on the Edge: Opioids, Benzodiazepines, and the Social Anxieties Surrounding Women's Reproduction in the U.S. "Opioid Epidemic"

The current "opioid epidemic" provides an opportunity to identify age-old social anxieties about drug use while opening up new lines of inquiry about how and why drug use epidemics become gendered. This paper reflects on the intertwined phenomena of opioid and benzodiazepine prescribing to U.S. women to examine how gender, race, and class inform social anxieties about reproduction and parenting. Multiple discourses abound about the relationship between women and the "opioid epidemic." Epidemiological reports attribute premature death among White women to the deadly combination of opioids and antianxiety medications. The National Institute on Drug Abuse reports that "every 25 minutes a baby is born suffering from opioid withdrawal," leading to costly hospital stays for infants and the potential for mother-child separation and other forms of family adjudication postpartum. Primary care providers are reluctant to distinguish diagnoses of chronic noncancer pain from anxiety among their female patients. Taken together, these discourses beg the question: What exactly are we worried about? I compare and contrast the narratives of two anxious women on opioids to raise larger structural questions about pregnancy, parenting, and drug use and to interrogate the public narrative that women on opioids threaten the American family and thwart the American Dream.

'Handled with care': Diffuse policing and the production of inequality in Amsterdam

The intersection of race and the criminal justice system has been a longstanding topic of activism, public debate and research in the US context. In recent years, European countries have also seen a growing social and academic debate about the way racialized minorities are policed. Based on ethnographic research in Amsterdam, this article argues that in order to understand such racialized policing, we have to go beyond a narrow focus on the police itself, and instead examine the broader institutional landscape tasked with security. This institutional landscape is made up of penal and welfare actors who together enact what I call diffuse policing. Such diffuse policing envelops targeted persons and spaces in a dense web of surveillance, and disciplinary and reform interventions that are hard to escape or challenge. This article explores the cumulative effects of this dense security landscape, and argues that it produces significant inequalities among youths in Amsterdam.

Educational content related to postcolonialism and indigenous health inequities recommended for all rehabilitation students in Canada: a qualitative study

BACKGROUND

Postcolonial analysis can help rehabilitation providers understand how colonization and racialization create and sustain health inequities faced by indigenous peoples. However, there is little guidance in the literature regarding inclusion of postcolonialism within rehabilitation educational curricula. Therefore, this study explored perspectives regarding educational content related to postcolonialism and indigenous health that rehabilitation students in Canada should learn to increase health equity.

METHODS

This qualitative study involved in-depth, semi-structured interviews with 19 individuals with insight into postcolonialism and health in Canada. Data were analyzed collaboratively to identify, code, and translate themes according to a structured six-phase method.

RESULTS

Four themes emerged regarding educational content for rehabilitation students: (1) the historic trauma of colonization and its ongoing impacts on rehabilitation for indigenous peoples; (2) disproportionate health burden and inequitable access to health services; (3) how rehabilitation is related to Indigenous ways of knowing; and (4) why rehabilitation is well-positioned to address health inequities with Indigenous Peoples.

CONCLUSION

Results call for reflection on assumptions underpinning the rehabilitation professions that may unintentionally reinforce health inequities. A postcolonial lens can help rehabilitation educators promote culturally safe services for people whose ill health and disability are linked to the effects of colonization. Implications for Rehabilitation Given the powerful, ongoing effects of colonization and racialization on health and disability, recommendation #24 from the Truth and Reconciliation Commission of Canada calls for the education of health professionals related to Indigenous history, rights, and anti-racism. However, there is little curricula on these areas in the education of rehabilitation professional students or in continuing education programs for practicing clinicians. This is the first study to investigate expert perspectives on content related to postcolonialism and indigenous-settler inequities that should be included in the education of rehabilitation students in Canada. According to the participants in this study, rehabilitation educators in Canada should consider incorporating the following four themes into curricula to better address Indigenous-settler inequities in the context of rehabilitation: (1) the historic trauma of colonization and its ongoing impacts on rehabilitation for Indigenous Peoples in Canada; (2) disproportionate health burden and inequitable access to health services; (3) how rehabilitation is related to Indigenous ways of knowing; and (4) why rehabilitation is well-positioned to rise to the challenge of addressing health inequities with Indigenous Peoples in Canada. Postcolonialism is useful for rehabilitation providers because it is an approach that redirects the focus of problems from Indigenous People to the systems of oppression (specifically colonization and racialization) that cause ill health and disability.

The vanishing Black Indian: Revisiting craniometry and historic collections

OBJECTIVES

This article uses craniometric allocation as a platform for discussing the legacy of Samuel G. Morton's collection of crania, the process of racialization, and the value of contextualized biohistoric research perspectives in biological anthropology.

MATERIALS AND METHODS

Standard craniometric measurements were recorded for seven Seminoles in the Samuel G. Morton Crania Collection and 10 European soldiers from the Fort St. Marks Military Cemetery; all individuals were men and died in Florida during the 19th century. Fordisc 3.1 was used to assess craniometric affinity with respect to three samples: the Forensic Data Bank, Howells data set, and an archival sample that best fits the target populations collected from 19th century Florida. Discriminant function analyses were used to evaluate how allocations change across the three comparative databases, which roughly reflect a temporal sequence.

RESULTS

Most Seminoles allocated as Native American, while most soldiers allocated as Euro-American. Allocation of Seminole crania, however, was unstable across analysis runs with more individuals identifying as African Americans when compared to the Howells and Forensic Data Bank. To the contrary, most of the soldiers produced consistent allocations across analyses. Repeatability for the St. Marks sample was lower when using the archival sample database, contrary to expectations. For the Seminole crania, Cohen's κ indicates significantly lower repeatability. A possible Black Seminole individual was identified in the Morton Collection.

DISCUSSION

Recent articles discussing the merits and weaknesses of comparative craniometry focus on methodological issues. In our biohistoric approach, we use the patterning of craniometric allocations across databases as a platform for discussing social race and its development during the 19th century, a process known as racialization. Here we propose that differences in repeatability for the Seminoles and Euro-American soldiers reflect this process and transformation of racialized identities during 19th century U.S. nation-building. In particular, notions of whiteness were and remain tightly controlled, while other racial categorizations were affected by legal, social, and political contexts that resulted in hybridity in lieu of boundedness.

Colombian forensic genetics as a form of public science: The role of race, nation and common sense in the stabilization of DNA populations

Abstract This article examines the role that vernacular notions of racialized-regional difference play in the constitution and stabilization of DNA populations in Colombian forensic science, in what we frame as a process of public science. In public science, the imaginations of the scientific world and common-sense public knowledge are integral to the production and circulation of science itself. We explore the origins and circulation of a scientific object--'La Tabla', published in Paredes et al. and used in genetic forensic identification procedures--among genetic research institutes, forensic genetics laboratories and courtrooms in Bogotá. We unveil the double life of this central object of forensic genetics. On the one hand, La Tabla enjoys an indisputable public place in the processing of forensic genetic evidence in Colombia (paternity cases, identification of bodies, etc.). On the other hand, the relations it establishes between 'race', geography and genetics are questioned among population geneticists in Colombia. Although forensic technicians are aware of the disputes among population geneticists, they use and endorse the relations established between genetics, 'race' and geography because these fit with common-sense notions of visible bodily difference and the regionalization of race in the Colombian nation.

Challenging a culture of racial equivalence

We live at a time when our understandings and conceptualizations of 'racism' are often highly imprecise, broad, and used to describe a wide range of racialized phenomena. In this article, I raise some important questions about how the term racism is used and understood in contemporary British society by drawing on some recent cases of alleged racism in football and politics, many of which have been played out via new media technologies. A broader understanding of racism, through the use of the term 'racialization', has been helpful in articulating a more nuanced and complex understanding of racial incidents, especially of people's (often ambivalent) beliefs and behaviours. However, the growing emphasis upon 'racialization' has led to a conceptualization of racism which increasingly involves multiple perpetrators, victims, and practices without enough consideration of how and why particular interactions and practices constitute racism as such. The trend toward a growing culture of racial equivalence is worrying, as it denudes the idea of racism of its historical basis, severity and power. These frequent and commonplace assertions of racism in the public sphere paradoxically end up trivializing and homogenizing quite different forms of racialized interactions. I conclude that we need to retain the term 'racism', but we need to differentiate more clearly between 'racism' (as an historical and structured system of domination) from the broader notion of 'racialization'.

Governing multicultural populations and family life

Shortly after coming to power in Britain, the Conservative-Liberal Democratic alliance placed family life at the heart of their political agenda, and set out their plans to reform adoption. The paper draws upon debates about the reforms and considers them in articulation with concerns about health of the nation expressed in political pronouncements on 'broken Britain' and the failures of 'state multiculturalism'. The paper considers the debates about domestic (transracial) and intercountry adoption, and uses feminist postcolonial perspectives to argue that we can only understand what are expressed as national issues within a transnational and postcolonial framework which illuminate the processes of state and institutional race-making. The paper analyses three key instances of biopower and governmentality in the adoption debates: the population, the normalizing family and the individual. The paper argues that we need to understand the reforms as part of a wider concern with the 'problem' of multicultural belonging, and that the interlocking discourses of nation, family and identities are crucial to the constitution and regulation of gendered, racialized subjects.

Racial Identity and Racial Treatment of Mexican Americans

How racial barriers play in the experiences of Mexican Americans has been hotly debated. Some consider Mexican Americans similar to European Americans of a century ago that arrived in the United States with modest backgrounds but were eventually able to participate fully in society. In contrast, others argue that Mexican Americans have been racialized throughout U.S. history and this limits their participation in society. The evidence of persistent educational disadvantages across generations and frequent reports of discrimination and stereotyping support the racialization argument. In this paper, we explore the ways in which race plays a role in the lives of Mexican Americans by examining how education, racial characteristics, social interactions, relate to racial outcomes. We use the Mexican American Study Project, a unique data set based on a 1965 survey of Mexican Americans in Los Angeles and San Antonio combined with surveys of the same respondents and their adult children in 2000, thereby creating a longitudinal and intergenerational data set. First, we found that darker Mexican Americans, therefore appearing more stereotypically Mexican, report more experiences of discrimination. Second, darker men report much more discrimination than lighter men and than women overall. Third, more educated Mexican Americans experience more stereotyping and discrimination than their less-educated counterparts, which is partly due to their greater contact with Whites. Lastly, having greater contact with Whites leads to experiencing more stereotyping and discrimination. Our results are indicative of the ways in which Mexican Americans are racialized in the United States.

Panethnicity, ethnic diversity, and residential segregation

The theoretical and empirical implications of the structural basis of panethnicity and of the layering of ethnic boundaries in residential patterns are considered while simultaneously evaluating the "panethnic hypothesis," the extent to which homogeneity within panethnic categories can be assumed. Results show a panethnic effect--greater residential proximity within panethnic boundaries than between, net of ethnic group size and metropolitan area--that is dependent on immigration. A lower degree of social distance between panethnic subgroups is observed for blacks, whites, and Latinos, and less for Asians, yet ethnonational groups continue to maintain some degree of distinctiveness within a racialized context.

Organizational Life and Political Incorporation of Two Asian Immigrant Groups: A Case Study

Civil society is the foundation of a healthy democracy but its immigrant element has received little attention. This paper is a case study of immigrant organizations of highly-skilled Asian Indians and Chinese immigrants in a suburban town of Edison, New Jersey. I find that civic participation of Asian Indian immigrants spills over into political incorporation while Chinese immigrant organizations remain marginalized. I argue the local processes of racialization are central in explaining differences in political incorporation of immigrants. In the local context, the Chinese are seen as successful but conformist model minorities and Asian Indians as invaders and troublemakers. The racialization of Asian Indians has resulted in more political activity and higher levels of political visibility of their organizations. The results highlight shortcomings of current assimilation theories, which give little space to civic and political incorporation and view human capital in an unqualifiedly positive light.