Organizations are key mechanisms by which racism is enacted and perpetuated. Although much of the management literature has focused on organizational efforts to combat racial discrimination, some of the most transformative changes come from the everyday actions of employees themselves. In this study, we develop grounded theory on racial minority employees who choose to challenge racism from within the organizational structures that perpetuate it most (i.e., highly racialized organizations). We present a theoretical model of employee anti-racism that emerged from our analysis of qualitative data-comprising 80.7 audio hours from 48 interviews with Black law enforcement officers. This model articulates anti-racism motivation as a key mechanism that motivates racial minority employees to join and stay within highly racialized organizations. Our analysis suggests that these employees enact anti-racism behaviors targeted at both the racialized organization and their racial community, with these behaviors playing a critical role in positively transforming the interface between the organization and the communities that are harmed by racism. Perceptions of transformation help sustain racial minority employees' anti-racism motivation, particularly as they experience continued racism and encounter backlash for their anti-racism efforts. In the absence of perceived transformation, we found that racial minority employees are likely to withdraw from the highly racialized organization. Altogether, our study provides a theoretical and practical roadmap highlighting how racial minority employees combat racism via organizational membership and sustain their positive impact on both their work organization and their racial communities. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Front Public Health
January 2025
Johns Hopkins University School of Nursing, Baltimore, MD, United States.
Background: Despite increased insurance coverage since 2010, racial and ethnic minorities in the United States still receive less medical care than White counterparts. The Johns Hopkins School of Nursing's Center for Community Programs, Innovation, and Scholarship (COMPASS Center) provides free wellness services, aiming to address healthcare disparities in the neighborhoods.
Objective: To delineate the types and cost of wellness services provided by the COMPASS Center.
Front Public Health
January 2025
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States.
Background: High dietary quality can protect against diet-related chronic diseases. In the United States, racial and ethnic minorities and those with lower incomes consistently exhibit lower dietary quality. Independently-owned restaurants are a common prepared food source in minority low-income communities, but there are significant knowledge gaps on how to work with these restaurants to offer healthy food, due to underlying and dynamic complexities associated with providing healthy food options.
View Article and Find Full Text PDFSurg Pract Sci
June 2024
Division of Colorectal Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Background: Disparities exist the management of rectal cancer. We sought to evaluate short-term surgical outcomes among different racial/ethnic groups following rectal cancer resection.
Materials And Methods: National Surgical Quality Improvement Program (NSQIP) database (2016-2019) was queried.
J Eat Disord
January 2025
, London, UK.
Improvements to eating disorder (ED) care are urgently needed in the United Kingdom (UK) and around the world. Informed by my lived experiences, independent research, and involvement in the underappreciated field of quality improvement (QI), I have written this article to offer ideas on how to improve individuals' access to and experiences of ED care. As I live in the UK, my lived and QI experiences are of the UK's National Health Service (NHS).
View Article and Find Full Text PDFClin Epigenetics
January 2025
Department of Pediatrics, USDA Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, 77030, USA.
Background: The incidence of early-onset colorectal cancer (EOCRC) has been rising at an alarming rate in the USA, and EOCRC disproportionately affects racial/ethnic minorities. Here, we construct comprehensive profiles of EOCRC DNA methylomes at base-pair resolution for a cohort of Hispanic and African American patients.
Results: We show the epigenetic landscape of these EOCRC patients differs from that of late-onset colorectal cancer patients, and methylation canyons in EOCRC tumor tissue preferentially overlapped genes in cancer-related pathways.
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