a Social Work Department , Adelphi University , Garden City , New York , USA.
b Department of Behavioral and Community Health , University of Maryland , College Park , Maryland , USA.
Soc Work Public Health. 2019;34(5):430-443. doi: 10.1080/19371918.2019.1616645. Epub 2019 May 22.
Social welfare and health professionals continually practice within communities, either directly as practitioners or indirectly by supervising students and co-workers. The current study investigated how social welfare and health professionals conceptualized race, racism, and whiteness in health disparities discourse. Employing constructivist grounded theory, through a social justice lens, the researchers developed a theoretical model based upon the collective experiences of social workers, nurses, and physicians. The analysis revealed four theoretical categories that characterized facets of how social welfare and health professionals' understand race, racism, and whiteness: (1) self-defined skin color; (2) (pre)judgments and discrimination; (3) privilege and power; and (4) conceptual conflation and unfamiliarity. The findings suggest more emphasis during training and in workplace settings on concepts such as power, inequities, and structural racism may significantly improve the efficacy and scope of REHD interventions by expanding social welfare and health professionals' understanding of race, racism, and whiteness beyond interpersonal level interactions.
社会福利和健康专业人员在社区中不断地进行实践，无论是作为从业者直接进行，还是通过监督学生和同事间接地进行。本研究调查了社会福利和健康专业人员如何在健康差异话语中理解种族、种族主义和白人。研究人员通过社会正义视角，采用建构主义扎根理论，基于社会工作者、护士和医生的集体经验，制定了一个理论模型。分析揭示了四个理论范畴，这些范畴描述了社会福利和健康专业人员理解种族、种族主义和白人的方面：（1）自我定义的肤色；（2）（先入为主的）判断和歧视；（3）特权和权力；以及（4）概念混淆和不熟悉。研究结果表明，在培训和工作场所环境中更加强调权力、不平等和结构性种族主义等概念，可能会通过扩大社会福利和健康专业人员对种族、种族主义和白人的理解，超越人际互动层面，从而显著提高 REHD 干预的效果和范围。
