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Antiracism is an important health issue
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Discussion of racial discrimination in medicine has concerned mainly recruitment and career development. 1 2 This has overshadowed a growing literature showing an association between racism, morbidity and mortality.3-7 Racism may be aetiologically important in the development of illness.
Racism stems from the belief that people should be treated differently because of a few phenotypic features. Racism can manifest as individual or group acts and attitudes or institutionalised processes that lead to disparities. Racism is common: in one national survey in the United Kingdom, 25-40% of participants said they would discriminate against ethnic minorities; an estimated 282 000 UK crimes were racially motivated in 1999; and a third of people from ethnic minorities constrain their lives through fear of racism. 8 9 Disparities between ethnic minority and majority groups in housing, education, arrests, and court sentencing are believed to be due to racism, not simply to economic fources. 8 9
Cross sectional studies in the United
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