STRUCTURAL RACISM and STRUCTURAL HOMOPHOBIA-TRANSPHOBIA are major root causes of HEALTH DISPARITY
The concepts of HISTORICAL and STRUCTURAL RACISM and DISCRIMINATION are a recognition that the experience of DISCRIMINATION is not just an individual perception of inequity but public policies, institutional practices, cultural images and behaviors which are built into the structure of the dominant culture and which reinforce social inequity.
Examples include discrimination in:
o access to healthcare
o economic opportunity and employment
o the right to marry
Structural Discrimination can extend to outright brutality such as:
Paul Farmer et al (2006) Structural Violence and Clinical Medicine. PLOS Medicine.