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- Title
Where next for understanding race/ethnic inequalities in severe mental illness? Structural, interpersonal and institutional racism.
- Authors
Nazroo, James Y.; Bhui, Kamaldeep S.; Rhodes, James
- Abstract
In this article we use the example of race/ethnic inequalities in severe mental illness to demonstrate the utility of a novel integrative approach to theorising the role of racism in generating inequality. Ethnic minority people in the UK are at much greater risk than White British people of being diagnosed with a severe – psychosis related – mental illness, and this is particularly the case for those with Black Caribbean or Black African origins. There is entrenched dispute about how we might understand the drivers of this inequality. To address this dispute we build on, and to a certain extent refine, established approaches to theorising structural and institutional racism, and integrate this within a theoretical framework that also incorporates racist/discriminatory interactions (interpersonal racism). We argue that this provides a conceptually robust and thorough analysis of the role of inter‐related dimensions of racism in shaping risks of severe mental illness, access to care, and policy and practice responses. This analysis carries implications for a broader, but integrated, understanding of the fundamental drives of race/ethnic inequalities in health and for an anti‐racism public health agenda.
- Subjects
UNITED Kingdom; WEST Indies; PSYCHIATRIC diagnosis; MENTAL illness risk factors; BLACK people; CONCEPTUAL structures; ETHNIC groups; HEALTH services accessibility; MINORITIES; PSYCHOSES; PUBLIC health; RACISM; RISK assessment; WHITE people; GOVERNMENT policy; HEALTH equity; SEVERITY of illness index
- Publication
Sociology of Health & Illness, 2020, Vol 42, Issue 2, p262
- ISSN
0141-9889
- Publication type
Article
- DOI
10.1111/1467-9566.13001