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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, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use.date: 19 May 2022



(p.113) 5 Conclusion
Invisible Visits

Tina K. Sacks

Oxford University Press

This chapter summarizes the book’s main points including the idea that stereotype threat negatively affects Black women during the healthcare encounter and that women feel they must adjust their behavior to mitigate pervasive stereotypes. It also critiques the prevailing framework in health disparities research as being ahistorical and decontextualized. The chapter summarizes the women’s healthcare experiences, pointing to prevailing negative stereotypes about Black women that follow them into the doctor’s visit despite their class or educational status. Women tried to emphasize certain elements of their persona particularly vis-à-vis their cultural health capital. In other words, to be visible to their providers, they tried to leverage certain skills that are valued in the contemporary healthcare space, such as the ability to convey health information in a rational and efficient manner or take an instrumental approach to one’s body. The chapter closes with a discussion of structural interventions to address differences in treatment.

Keywords:   structural competency, structural intervention, stereotype, stereotype threat, cultural health capital

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