Abstract
Racial profiling is a public health and health disparities issue through its disparate and adverse health impact on those targeted by this practice, as well as members of their communities. We discuss six ways police profiling and racial discrimination adversely impact Black American health. We identify four direct and two indirect ways. Four direct ways are (1) violent confrontation with police that causes injury or death; (2) police language that escalates a confrontation through micro-aggressions or macro-aggressions; (3) sub-lethal confrontations with police; (4) adverse health consequences of perceived or vicarious threat, i.e., the mere belief in potential harm by police injures health. There are two indirect ways: (5) through knowledge of or personal relationship with someone who directly experienced racial profiling; (6) through public events without a personal knowledge of the unarmed person threatened or killed by police as a result of racial profiling, but where such events cause both individuals and the community at large to perceive a threat. We support recognition of racial profiling as a public health and health disparities issue. We recommend support for community programs that address the clinical health effects of racial profiling. We also recommend widespread engagement of trauma-informed policing (TIP) that acknowledges the clinical effects of racial profiling.
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References
Warren PY, Farrell A. The environmental context of racial profiling. Annals Am Acad Pol Soc Sci. 2009;623:52–63.
Bor J, Venkataramani AS, Williams DR, Tsai AC. Police killings and their spillover effects on the mental health of Black Americans: a population-based, quasi-experimental study. Lancet. 2018;392(10144):302–10.
McLeod MN, Heller D, Manze MG, Echeverria SE. Police interactions and the mental health of Black Americans: a systematic review. J Racial Ethn Health Disparities. 2019;7:10–27. https://doi.org/10.1007/s40615-019-00629-1.
Staggers-Hakim R. The nation’s unprotected children and the ghost of Mike Brown, or the impact of national police killings on the health and social development of African American boys. J Hum Behav Soc Environ. 2016;26(3–4):390–9. https://doi.org/10.1080/10911359.2015.1132864.
Simon D. Five years after Trayvon Martin’s death, a movement lives on. 2017 Retrieved February 24, 2020, from https://www.cnn.com/2017/02/26/us/trayvon-martin-death-anniversary/index.html
Krieger N, Chen JT, Waterman PD, Kiang MV, Feldman J. Police killings and police deaths are public health data and can be counted. PLoS Med. 2015;12(12):e1001915. https://doi.org/10.1371/journal.pmed.1001915.
Cooper HLF, Fullilove M. Editorial: excessive police violence as a public health issue. J Urban Health. 2016;93:1–7.
Mission Statement. (n.d.) Retrieved January 6, 2020, from http://www.ctrp3.org/mission-statement/.
Mesic A, et al. The relationship between structural racism and Black-White disparities in fatal police shootings at the state level. J of the National Medical Association. 2018;110(2):106–16.
Gilbert KL, et al. Why police kill black males with impunity: applying public health critical race praxis (PHCRP) to address the determinants of policing behaviors and “justifiable” homicides in the USA. J of Urban Health. 2016;93(1):122–40.
Young K. Macroaggressions vs. microaggression: what’s the difference? 2017 Retrieved February 21, 2020 from https://www.thevermilion.com/opinion/editorials/macroaggressions-vs-microaggression-what-s-the-difference/article_3a4a20fb-ea89-51ce-9845-3d99698bc130.html.
Voigt R, Camp NP, Prabhakaran V, Hamilton WL, Hetey RC, Griffiths CM, et al. Language from police body camera footage shows racial disparities in officer respect. Proc Natl Acad Sci U S A. 2017;114(25):6521–6.
Zielinski, A. Police Violence Is A Public Health Issue 2016. Retrieved January 6, 2020 from https://thinkprogress.org/police-violence-is-a-public-health-issue-1de39be33bda/.
Cooper H, Moore L, Gruskin S, Krieger N. Characterizing perceived police violence: implications for public health. Am J Public Health. 2004;94(7):1109–18.
D’Arrigo T. Exposure to police violence linked to suicide risk, psychosis 2019. Retrieved January 6, 2020, from https://psychnews.psychiatryonline.org/doi/10.1176/appi.pn.2019.1a9.
Geller A, Fagan J, Tyler T, Link BG. Aggressive policing and the mental health of young urban men. Am J Public Health. 2014;104(12):2321–7.
Staggers-Hakim R. The nation’s unprotected children and the ghost of Mike Brown, or the impact of national police killings on the health and social development of African American boys. J Hum Behav Soc Environ. 2016;3–4(26):390–9. https://doi.org/10.1080/10911359.2015.1132864.
Oh H, DeVylder J, Hunt G. Effect of police training and accountability on the mental health of African American adults. Am J Public Health. 2017;107(10):1588–90.
Alang S, McAlpine D, McCreedy E, Hardeman R. Police brutality and Black health: setting the agenda for public health scholars. Am J Public Health. 2017;107(5):662–5.
Cokley K, et al. Ethnic minority-majority status and mental health: the mediating role of perceived discrimination. J of Mental Health Counseling. 2011;33(3):243–63.
Smiley C, Fakunle D. From “brute” to “thug”: the demonization and criminalization of unarmed Black male victims in America. J Hum Behav Soc Environ. 2016;26(3–4):350–66.
Tynes BM, Willis HA, Stewart AM, Hamilton MW. Race-related traumatic events online and mental health among adolescents of color. J Adolesc Health. 2019;65(3):371–7.
McFarland MJ, Taylor J, McFarland CAS. Weighed down by discriminatory policing: perceived unfair treatment and black-white disparities in waist circumference. SSM Popul Health. 2018;5:210–7.
Bryant-Davis T, Ocampo C. A therapeutic approach to the treatment of racist-incident-based trauma. J of Emotional Abuse. 2006;6(4):1–22.
Legewie J. Police violence and the health of black infants. Sci Adv. 2019;5:1–8.
Torche F. The effect of maternal stress on birth outcomes: exploiting a natural experiment. Demography. 2011;48:1473–91.
Bichell RE Scientists start to tease out the subtler ways racism hurts health 2017. Retrieved January 6, 2020 from https://www.npr.org/sections/health-shots/2017/11/11/562623815/scientists-start-to-tease-out-the-subtler-ways-racism-hurts-health.
CCCK Online. (n.d.) Retrieved January 6, 2020, from https://myonline.centralchristian.edu/news/2019/07/03/what-trauma-informed-policing.
Trauma. (n.d.). Retrieved February 21, 2020, from https://www.integration.samhsa.gov/clinical-practice/trauma-informed
Funding
The authors would like to acknowledge support from the National Institutes of Health (NIH): NIH BUILD (RL5GM118969) and NIH PIONEER (DP1AR068147) for funding this work (C.T.L.).
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Laurencin, C.T., Walker, J.M. Racial Profiling Is a Public Health and Health Disparities Issue. J. Racial and Ethnic Health Disparities 7, 393–397 (2020). https://doi.org/10.1007/s40615-020-00738-2
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DOI: https://doi.org/10.1007/s40615-020-00738-2