Abstract
Even though the prevalence of a number of cardiovascular diseases differs across self-identified racial groups, dividing human populations into subspecies or races is not defensible from a biological perspective. Evidence points to a relatively recent origin of the human species and to a substantial level of genetic exchanges between migrating human populations. The persistent health disparities between populations of varying ethnic origins that currently inhabit the same geographical area may reflect differences in rates of exposure to disease-generating circumstances, rather than underlying biological differences. Thus, studies of the impact of racism on health may assist in identifying the source of between-group differences in health status that were formally attributed to race. Empirical studies of racism are becoming increasingly sophisticated. This chapter includes a discussion of several paradigms that take a multilevel approach to the study of racism and health outcomes. The promise of these studies is the uncovering of the pathways that connect environmental events to cardiovascular diseases in groups negatively impacted by racism.
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Harrell, C.J.P., Burford, T.I., Davis, R. (2022). From Race to Racism in the Study of Cardiovascular Diseases: Concepts and Measures. In: Waldstein, S.R., Kop, W.J., Suarez, E.C., Lovallo, W.R., Katzel, L.I. (eds) Handbook of Cardiovascular Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85960-6_9
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