Evidence map›Paper›PMID 33949220›Full record

ArticleInternational journal of health services : planning, administration, evaluation2021

Classism and Everyday Racism as Experienced by Racialized Health Care Users: A Concept Mapping Study.

Deb F Mahabir, Patricia O'Campo, Aisha Lofters, Ketan Shankardass, Christina Salmon, Carles Muntaner

Open access · hybridAbstract read
In one paragraph

Article in International journal of health services : planning, administration, evaluation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  8. Article
  9. Racism in Health Services for Adolescents: A Scoping Review.International journal of social determinants of health and health services · 2023
    Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Deb F Mahabir7938University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-7960-5851
Patricia O'CampoMAP Centre for Urban Health Solutions, Toronto, ON, Canada.
Aisha Lofters7985Women's College Hospital, Toronto, ON, Canada.
Ketan Shankardass8431Wilfrid Laurier University, Waterloo, ON, Canada.
Christina Salmon518773Knowledge Translation Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Carles Muntaner7938University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3535-467X
University of Toronto · CASt. Michael's Hospital · CAWilfrid Laurier University · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Toronto, Canada, 51.5 % of the population are members of racialized groups. Systemic labor market racism has resulted in an overrepresentation of racialized groups in low-income and precarious jobs, a racialization of poverty, and poor health. Yet, the health care system is structured around a model of service delivery and policies that fail to consider unequal power social relations or racism. This study examines how racialized health care users experience classism and everyday racism in the health care setting and whether these experiences differ within stratifications such as social class, gender, and immigration status. A concept mapping design was used to identify mechanisms of classism and everyday racism. For the rating activity, 41 participants identified as racialized health care users. The data analysis was completed using concept systems software. Racialized health care users reported "race"/ethnic-based discrimination as moderate to high and socioeconomic position-/social class-based discrimination as moderate in importance for the challenges experienced when receiving health care; differences within stratifications were also identified. To improve access to services and quality of care, antiracist policies that focus on unequal power social relations and a broader systems thinking are needed to address institutional racism within the health care system.

Indexed as

RacismCanadaDelivery of Health CareHumansclassismconcept mappingeveryday racismhealth careinstitutional racism policysocial classsocioeconomic position

Identifiers

PMID33949220
PMCPMC8204040
OpenAlexW3158682773

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.