Abstract
Franklin is a 58-year-old multiethnic, multiracial man of African-American, Cherokee, and Scottish background who views all aspects of his heritage as important. He also considers being multiracial as a unique cultural experience. He grew up in a multi-generation household consisting of his paternal grandmother (Cherokee), mother (third-generation Scottish-American), father (African-American and Cherokee), and his three brothers and two sisters. Unable to marry in their home state due to miscegenation laws, Franklin’s parents married in a US state that permitted interracial marriages where they then settled to start a new life and family together. The opening of a factory with employee housing provided steady employment that led to a factory-sponsored mortgage to purchase a family home in a new housing development bordering the factory. Although federal laws purported “equal opportunities” in employment, education, and housing, the reality was that overt and covert discrimination existed, so factory work and company housing were greatly welcomed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Davenport LD (2016) The role of gender, class, and religion in biracial Americans’ racial labeling decisions. Am Sociol Rev 81(1):57–84
DeJesus A, Hogan J, Martinez R, Adams J, Lacy TH (2016) Putting racism on the table: the implementation and evaluation of a novel racial equity and cultural competency training/consultation model in New York City. J Ethn Cult Divers Soc Work 25(4):300–319
Derrick CG, Miller JSA, Andrews JM (2008) A fish consumption study of anglers in an at-risk community: a community-based participatory approach to risk reduction. Public Health Nurs 25(4):312–318
Farley R (2001) Identifying with multiple races. Report 01-491. University of Michigan, Population Studies Center, Ann Arbor. As cited in Shih M, Sanchez DT (2009) When race becomes even more complex: toward understanding the landscape of multiracial identity and experiences. J Soc Issues 65(1):2
Jackson KF, Samuels GM (2011) Multiracial competence in social work: recommendations for culturally attuned work with multiracial people. Soc Work 56(3):235–245
Jeffreys MR (2005) Clinical nurse specialists as cultural brokers, change agents, and partners in meeting the needs of culturally diverse populations. J Multicult Nurs Health 11(2):41–48
Jeffreys MR (2016) Teaching cultural competence in nursing and health care: inquiry, action, and innovation, 3rd edn. Springer, New York
Jeffreys MR, Zoucha R (2001) The invisible culture of the multiracial, multiethnic individual: a transcultural imperative. J Cult Divers 8(3):79–83
Jeffreys MR, Zoucha R (2017a) Revisiting “the invisible culture of the multiracial, multicultural individual: a transcultural imperative”. J Cult Divers 24(1):3–5
Jeffreys MR, Zoucha R (2017b) The invisible culture of the multiracial, multicultural individual: a transcultural imperative: a reprint from 2001. J Cult Divers 24(1):6–10
Jeffreys MR, Zoucha R (2017c) Book review: mixed-race youth and schooling: the fifth minority. J Cult Divers 24(1):11–12
Landrine H, Corral I (2015) Targeting cancer information to African Americans: the trouble with talking about disparities. J Health Commun 20:196–203
May FP, Almiro C, Ponce N, Brennen MR, Spiegel BMR (2015) Racial minorities are more likely than whites to report lack of provider recommendation for colon cancer screening. Am J Gastroenterol 110:1388–1394
Pascoe P (1996) Miscegenation law, court cases, and ideologies of “race” in twentieth-century America. J Am Hist 83(1):44–69
Pew Commission (2015) http://www.pewsocialtrends.org/2015/06/11/chapter-1-race-and-multiracial-americans-in-the-u-s-census/. Accessed 18 Sept 2017
Pignone MP, Crutchfield TM, Brown PM, Hawkey S, Laping JL, Lewis CL, Lich KH, Richardson LC, Tangka FKL, Wheeler SB (2014) Using a discrete choice experiment to inform the design of programs to promote colon cancer screening for vulnerable populations in North Carolina. BMC Health Serv Res 14:611. https://doi.org/10.1186/s12913-014-0611-4
Remedios JD, Chasteen AL (2013) Finally, someone who “gets” me! Multiracial people value others’ accuracy about their race. Cult Divers Ethn Minor Psychol 19(4):453–460
Rice LJ, Brandt HM, Hardin JW, Annang Ingram L et al (2015) Exploring perceptions of cancer risk, neighborhood environmental risks and health behaviors of blacks. J Community Health 40:419–430. https://doi.org/10.1007/s10900-014-9952-5
Root MPP (1992) Racially mixed people in America. Sage, Newbury Park
Root MPP (1993) Bill of rights for people of mixed heritage. Online. http://www.drmariaroot.com/doc/BillOfRights.pdf
Root MPP (1997) Multiracial Asians: models of ethnic identity. Amerasia J 23(1):29–41
Sanchez DT (2010) How do forced-choice dilemmas affect multiracial people? The role of identity autonomy and public regard in depressive symptoms. J Appl Soc Psychol 40(7):1657–1677
Shah AA, Zogg CK, Zafar SN, Schneider EB, Cooper LA et al (2015) Analgesic access for acute abdominal pain in the emergency department among racial/ethnic minority patients: a nationwide examination. Med Care 53(12):1000–1009
Sly JR, Jandorf L, Dhulkifl R, Hall D et al (2012) Challenges to replicating evidence-based research in real-world settings: training African-American peers as patient navigators for colon cancer screening. J Cancer Educ 27:680–686
Tran AGTT, Miyake ER, Csizmadia A, Martinez-Morales V (2016) “What are you?” multiracial individuals’ responses to racial identification inquiries. Cult Divers Ethn Minor Psychol 22(1):26–37
Tutwiler SW (2016) Mixed-race youth and schooling: the fifth minority. Routledge, New York
United States Environmental Protection Agency (2016) EJ 2020 action agenda: the US EPA’s environmental justice strategic plan for 2016-2020. Author, Washington, DC
Zhuang GJ, Cox J, Cruz S, Dearing JW et al (2016) Environmental stigma: resident responses to living in a contaminated area. Am Behav Sci 60(11):1322–1341
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Jeffreys, M.R. (2018). Case Study: A Multiracial Man Seeks Care in the Emergency Department. In: Douglas, M., Pacquiao, D., Purnell, L. (eds) Global Applications of Culturally Competent Health Care: Guidelines for Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-69332-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-69332-3_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-69331-6
Online ISBN: 978-3-319-69332-3
eBook Packages: MedicineMedicine (R0)