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Invisible VisitsBlack Middle-Class Women in the American Healthcare System$
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Tina K. Sacks

Print publication date: 2019

Print ISBN-13: 9780190840204

Published to Oxford Scholarship Online: January 2019

DOI: 10.1093/oso/9780190840204.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 03 December 2021

The Black Middle Class in White Space

The Black Middle Class in White Space

Stereotyping and the Healthcare Encounter

(p.17) 1 The Black Middle Class in White Space
(p.iii) Invisible Visits

Tina K. Sacks

Oxford University Press

This chapter describes and analyzes the Black middle class in the United States with a particular focus on how this group fares in healthcare settings. The author defines the term “Black middle class,” including data on the group’s economic well-being. The chapter argues that American healthcare institutions are best characterized as predominantly White institutions in which Black people are vulnerable to stereotyping and structural discrimination. The author describes the concept of stereotype threat and health-related stereotype threat, applies it to the study of health disparities among the Black middle class, and emphasizes implications for Black women. The chapter also presents empirical research on how racial stereotyping, allostatic load, and stress negatively affect Black people’s health.

Keywords:   White space, stereotyping, healthcare encounter, structural discrimination, Black middle class, stress, allostatic load

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