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Am J Public Health. 2000 Aug;90(8):1212-5.

Levels of racism: a theoretic framework and a gardener's tale.

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  • 1Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.

Abstract

The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences. She then presents an allegory about a gardener with 2 flower boxes, rich and poor soil, and red and pink flowers. This allegory illustrates the relationship between the 3 levels of racism and may guide our thinking about how to intervene to mitigate the impacts of racism on health. It may also serve as a tool for starting a national conversation on racism.

PMID:
10936998
[PubMed - indexed for MEDLINE]
PMCID:
PMC1446334
Free PMC Article
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