Mixed Race Studies

How Do Integrated Health Care Systems Address Racial and Ethnic Disparities in Colon Cancer?

Journal of Clinical Oncology
Published online: 2015-01-26
DOI: 10.1200/JCO.2014.56.8642

Kim F. Rhoads, Colon and rectal surgeon, Colorectal surgeon, Surgical oncologist; Assistant Professor of Surgery at the Stanford University Medical Center
Stanford Cancer Institute
Stanford University School of Medicine

Manali I. Patel, MD
Stanford Cancer Institute
Stanford University School of Medicine

Yifei Ma, Statistician
Stanford University School of Medicine

Laura A. Schmidt, Professor of Health Policy
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco

Presented as a poster at the American Society of Clinical Oncology Quality Care Symposium, San Diego, CA, November 30-December 1, 2012.

Purpose: Colorectal cancer (CRC) disparities have persisted over the last two decades. CRC is a complex disease requiring multidisciplinary care from specialists who may be geographically separated. Few studies have assessed the association between integrated health care system (IHS) CRC care quality, survival, and disparities. The purpose of this study was to determine if exposure to an IHS positively affects quality of care, risk of mortality, and disparities.

Patients and Methods: This retrospective secondary-data analysis study, using the California Cancer Registry linked to state discharge abstracts of patients treated for colon cancer (2001 to 2006), compared the rates of National Comprehensive Cancer Network (NCCN) guideline–based care, the hazard of mortality, and racial/ethnic disparities in an IHS versus other settings.

Results: More than 30,000 patient records were evaluated. The IHS had overall higher rates of adherence to NCCN guidelines. Propensity score–matched Cox models showed an independent and protective association between care in the IHS and survival (hazard ratio [HR], 0.87; 95% CI, 0.85 to 0.90). This advantage persisted across stage groups. Black race was associated with increased hazard of mortality in all other settings (HR, 1.15; 95% CI, 1.04 to 1.27); however, there was no disparity within the IHS for any minority group (P > .11 for all groups) when compared with white race.

Conclusion: The IHS delivered higher rates of evidence-based care and was associated with lower 5-year mortality. Racial/ethnic disparities in survival were absent in the IHS. Integrated systems may serve as the cornerstone for developing accountable care organizations poised to improve cancer outcomes and eliminate disparities under health care reform.

Read or purchase the article here.

The Garifuna Exodus

Latino USA
2015-01-23

Maria Hinojosa, Executive Producer & Anchor

Marlon Bishop, Producer

For centuries, the Garifuna people — descendents of both Africans and indigenous Arawak people from the Caribbean — have lived peacefully in seaside towns on the North Coast of Honduras. There’s always been a trickle of migration from the community to the United States – especially the Bronx, where the largest Garifuna community outside of Central America lives.

But starting last spring, the trickle of migrants became a flood. Hundreds of Garifuna from each town left, thousands all together, embarking on the dangerous journey through Central America and Mexico to the U.S. border. It was mostly mothers with small children. They showed up in places like the Bronx, seeking refuge with family members, wearing GPS ankle monitors placed on them by U.S. immigration officers who detained them. They await court dates in limbo, unsure if they will be forced to go back to the homes they fled…

Read the entire introduction and listen to the story here.

Black Germans and the Holocaust

International Slavery Museum
Liverpool, England, United Kingdom
2015-01-14

The International Slavery Museum will be marking Holocaust Memorial Day on Tuesday 27 January with a special free guest lecture by Professor Eve Rosenhaft from the University of Liverpool, who will be talking about the experiences of the Black German community during the Holocaust.

Eve tells us more:

“When Hitler came to power in 1933, there were a several thousand people of African descent in Germany. They included African Americans, African-Caribbean and Africans passing through, working or recently settled, but the core of Germany’s Black community was made up of men from Germany’s former colonies – East Africa, Togo, and especially Cameroon – with their German-born wives and ‘mixed-race’ children.

This talk focuses on those families. While Hitler was still hoping to recover colonies in Africa, the Nazis hoped to make use of them for political propaganda. But ‘mixed’ families represented a particular challenge to Nazi racial policies, and in the long run they suffered exclusion, harassment, internment, and compulsory sterilisation. At the same time people’s experiences were varied and sometimes adventurous. Most individuals survived in Germany or as emigrants, thanks to support from other members of the community and from their families, though the community itself came out of World War II largely broken and scattered…

Read the entire article here.

The Life and Death of Davis Knight after State vs. Knight (1948)

Renegade South: Histories of Unconventional Southerners
2009-04-08

Victoria E. Bynum, Emeritus Professor of History
Texas State University, San Marcos

Davis Knight, the great-grandson of the infamous “Free State of Jones” guerrilla, Newt Knight, became the centerpiece of his own drama some 25 years after the death of his notorious ancestor. Although Davis was descended from Newt and his wife, Serena, both of whom were white, he was also the great-grandson of Rachel Knight, a former slave of Newt’s grandfather. And although Davis was white in appearance, because of his descent from Rachel, he was defined as black by his white neighbors. Some of those neighbors did not take kindly to Davis Knight’s marriage in 1946 to Junie Lee Spradley, a local white woman. In 1948, Davis ended up in court, accused of having married across the color line (a crime in several states until 1967). Despite a vigorous defense by Attorney Quitman Ross, a jury pronounced Davis guilty. Convicted of miscegenation, the Ellisville Court sentenced him to five years in Mississippi’s notorious Parchman prison.

Attorney Ross immediately appealed the decision on grounds the court had failed to prove that Davis had 1/8th or more African ancestry, and won his case. The Mississippi State Supreme Court overturned the lower court’s decision and remanded Davis’s case for retrial–a retrial that never took place. In legal terms, the High Court ruled in this important case, the “one drop rule” did not determine one’s racial identity, regardless of social custom. Davis Knight thus escaped going to prison and, for the rest of his life, lived as a white man…

Read the entire article here.

Penn PIK Professor Dorothy Roberts to Receive APA’s 2015 Fuller Award

Penn News
University of Pennsylvania
2015-01-23

Jacquie Posey, Media Contact
Telephone: 215-898-6460

The American Psychiatric Association has named University of Pennsylvania professor Dorothy Roberts recipient of the 2015 Solomon Carter Fuller Award in recognition of her demonstrated leadership and exceptional achievements.

The award honors “a Black citizen who has pioneered in an area which has significantly benefitted the quality of life for Black people.”

Roberts is an acclaimed scholar of race, gender and the law who joined the University in 2012 as its 14th Penn Integrates Knowledge Professor. She is the George A. Weiss University Professor of Law and Sociology. Her appointment is shared between the School of Law and the departments of sociology and Africana studies in Penn Arts & Sciences. She is also the founding director of Penn’s Program on Race, Science and Society.

Roberts’ path-breaking work explains the mechanisms and consequences of racial inequities for women, children, families and communities and counters scientific misunderstandings about racial identity. Her research focuses on family, criminal and civil-rights law; bioethics; child welfare; feminist theory; reproductive justice; critical race theory;  and science and society.

Her major books include Fatal Intervention: How Science, Politics and Big Business Re-Create Race in the Twenty-first Century; Sex, Power and Taboo: Gender and HIV in the Caribbean and Beyond; Shattered Bonds: The Color of Child Welfare; and Killing The Black Body: Race, Reproduction and the Meaning of Liberty…

Read the entire news release here.

Mixed Race People Are Changing The Face Of America

Huffington Post Live
2013-10-04

Hosted by: Ahmed Shihab-Eldin

Guests:

• Marvin Russell @marvinrussell (Chicago, IL) CEO of The Ocean Agency
• Sarah Willie-LeBreton (Swarthmore, PA) Professor of Sociology at Swarthmore College
• Rabbi Steven Carr Reuben (New York, NY) Author of “There’s an Easter Egg on Your Seder Plate”
• Veena Goel Crownholm @TiarastoBabies (San Francisco, CA) Freelance Multimedia Journalist ; Former Miss California

Since the U.S. Census Bureau started collecting data on mixed race people in 2000, the category has grown by 32 percent. How do multiracial Americans define themselves and how are they changing the face of the country?

For more information, click here.

Dear Hollywood: Let’s Stop Making Movies Like “Black or White”

Forbes
2015-01-30

Rebecca Theodore

Halfway through the family drama “Black Or White,” Jeremiah Jeffers (Anthony Mackie) an Ivy-League educated lawyer, chastises his drug addict nephew Reggie (Andre Holland) in the midst of helping him regain custody of his daughter by asking, “Why do you have to be such a stereotype?”

A question I repeatedly asked myself as I had to suffer through yet another one of Hollywood’s latest “White Is Right” films about racial relations. In “Black or White” Kevin Costner stars as Elliot Anderson, a successful lawyer who is left to raise his biracial granddaughter Eloise, when his wife dies unexpectedly. Elliot’s life becomes further complicated with an escalating drinking problem and a fight for Eloise from her absentee father and paternal grandmother (Octavia Spencer).

Black or White” is the Iggy Azalea of race films – it operates under the guise of being progressive and furthering the “conversation” about race, but only serves to exalt Whiteness by marginalizing Blackness. The movie is chock full of Black tropes and stereotypes; the overbearing matriarch who coddles and enables her son’s inexcusable behavior, the “Angry Black Man” (Mackie) and the “Magical Negro” with Duvan (Mpho Koaho), who starts off as a math tutor for Eloise, but soon finds himself dispensing wise advice and becoming a personal chauffeur to Elliot when he’s too drunk to drive.

You would think in 2015 Hollywood would have evolved from such reductive narratives about race, but according to Dr. Jason Johnson, a political analyst and a professor of political science at Hiram College, it’s business as usual. “It is part of a genre movie we have always had, that’s making a comeback which I like to call the “Reasonable White Man” movie,” Johnson explains. “They are films that are ostensibly about race but are extended polemics where so-called progressive Whites are saying ‘I’m the only one who has a reasonable perspective on this and Blacks are irrational and unreasonable.”…

Read the entire review here.

A Dialogue on Institutional Colorism and Moving Toward Healing with Dr. Yaba Blay

For Harriet
2015-01-28

Kimberly Foster, Editor-in-Chief/Publisher

For Harriet is nearly five years old, and I’ve learned there are a few topics that are sure to spark contentious debate. Colorism is one of them. Discussions on colorism provoke strong feelings in Black women, in particular, and it seems that rarely do the conversation’s participants walk away with a deeper understanding of the institutional consequences of colorism or the ways we can move forward in combatting them.

What Bill Duke’s Light Girls documentary sorely missed was the voice of a Black woman colorism scholar, so I felt compelled to speak with Dr. Yaba Blay about how we can have a more effective conversation on colorism in our attempts to heal. Dr. Blay is currently co-director and assistant teaching professor of Africana Studies at Drexel University. She’s the artistic director and producer of the (1)ne Drop Project, and she was a consulting producer for CNN’s Black in America 5.

Read her phenomenal book, (1)ne Drop: Shifting the Lens on Race…

Listen to the interview and read the transcript here.

Growing up biracial — the importance of words

The Lincoln Journal Star
Lincoln, Nebraska
2015-01-25

Cindy Lange-Kubick, Life columnist

She is in the breakroom at Walgreens Thursday morning, getting ready for a seven-hour shift.

KaDeja Sangoyele is trying not to cry.

She gets emotional, she says. It’s that word — half-breed.

“My life was horrible at times because of words like that,” she says.

KaDeja is talking about a blog, The Objective Conservative, and a post calling Barack Obama the “half-breed” president.

She’s talking about Patrick McPherson, the blog’s founder and co-editor who says he didn’t know about that post or about others, dating to 2011, that use those same words and other slurs and demeaning stereotypes about race.

McPherson is a newly elected member of the Nebraska Board of Education. He’s the former chairman of the Douglas County Republican Party.

Some people are calling for him to resign. Those people include the governor and senators and members of Congress and a multitude of ministers and educators and the NAACP and city council members and many others — both Republicans and Democrats.

And KaDeja, too.

“To be a part of today’s society — you can’t think that’s OK,” she said. “There’s no way.”

Especially for an authority figure, she says. Someone who is supposed to do what’s best for kids.

“It makes me angry.”

KaDeja is 19. She grew up in Lincoln. She’s a sophomore in college; she wants to study psychiatric nursing. She’s taking four classes this semester and working full time. She loves to run and read and listen to live music and watch Netflix; she likes leggings and Lilly Pulitzer and triple Americanos and hanging out with her friends.

She knows what half-breed means. She knows other words like it — meant to denigrate a person because of his or her skin color. The one they called her most was “mutt.”…

Read the entire article here.

The Multiple Meanings of Coloured Identity in South Africa

Africa Insight
Volume 42, Number 1 (2012)

Theodore Petrus, Lecturer
Department of Sociology & Anthropology
Nelson Mandela Metropolitan University, Port Elizabeth, South Africa

Wendy Isaacs-Martin, Political & Governmental Studies Fellow
Nelson Mandela Metropolitan University, Port Elizabeth, South Africa

In post-1994, South African identity has taken centre stage in debates about diversity and its impact in a multicultural society. The coloured people of South Africa seem to have the most at stake in such debates due to the perceived ambiguity of their and others’ perceptions of their identity. This article interrogates the symbology of colouredness by providing a symbolic interpretation of the meanings of the symbols of coloured identity. Through the engagement with relevant literature, the article seeks to identify the symbols of coloured identity and the multivocality of these symbols. Our argument is that a symbological approach to coloured identity opens up possibilities for a variety of meanings that move beyond the historically inherited stereotypical associations with the identity.

Log-in to read the article here.