?Who is our real enemy?? internalized racism in the Puerto Rican diaspora and the role of political education within community health intervention

Mullany, A (通讯作者),Univ Massachusetts, Hlth Promot & Policy, Amherst 715 N Pleasant St, Amherst, MA 01002 USA.
2022-10
Rationale: Puerto Ricans experience disproportionately high levels of emotional distress and co-occurring adverse health outcomes. Our study sought to elicit Puerto Rican men's perceptions of health disparities while centering dialogue on stressors, coping mechanisms, and general well-being. This paper focuses on one pronounced finding in our study, that of internalized racism and the effect it has on both individual well-being and intra-group cohesion. A significant gap within racial health disparity work is the role of internalized racism and its connection to psychological distress, ruptures in social unity, and resulting ill-health of racial and ethnic populations. Based on this, we probed this particular finding to further understand internalized racism within this Puerto Rican population.Methods: Using a hybrid thematic analysis approach, this study presents qualitative findings from in-depth interviews with Latino (92.5% Puerto Rican) men living in Springfield, Massachusetts and conducted between October 2019 and January 2020.Results: Our findings reveal a duality throughout: The acceptance and propagation of negative Latinx stereotypes and consequent intragroup division exists alongside expressions of community pride and desire for Latinx unity. This duality is analyzed by using W.E.B. Du Bois's theory of double consciousness. Double consciousness not only explains the self-disparagement toward oneself and one's own racial and ethnic group, but also elucidates a liberatory pathway toward political consciousness and well-being. The concept of second sight within double consciousness is particularly germane, speaking to one's awakening to the learned self-subjugation imposed by White supremacy.Conclusions: Internalized racism contributes to the persistent propagation of disparate health burdens in minoritized communities. Remediation can and should include community-led frameworks for the development of efficacious multilevel health interventions. The Young Lords community health activism provides such a model. These findings provide viable evidence-based examples of how the academy can synergize with community-led efforts to achieve collective agency.
SOCIAL SCIENCE & MEDICINE
卷号:311
ISSN:0277-9536|收录类别:SCIE
语种
英语
来源机构
University of Massachusetts System; University of Massachusetts Amherst; University of Massachusetts System; University of Massachusetts Amherst
资助机构
National Institute for Minority Health and Health Disparities of the National In- stitutes of Health
资助信息
Acknowledgements Research reported in this publication was supported by the National Institute for Minority Health and Health Disparities of the National In- stitutes of Health under award number 3R01MD010618-04S1. The authors acknowledge the life and work of Dr. Louis Graham whose untimely passing has been a devastating blow to his family, community, those who worked alongside him, and the field of public health. We also would like to acknowledge the men who participated in this work; may we continue to work together toward a liberated and more equitable future.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1873-5347
出版年
2022-10
DOI
10.1016/j.socscimed.2022.115334
关键词
USA Latinx Men?s health Stress Internalized racism Double consciousness theory Political education Young lords
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Biomedical
学科领域
循证公共卫生 循证社会科学-综合