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RESUMO Barbosa, M.I. Racismo e Saúde. São Paulo, 1998 [Tese de doutorado -Faculdade de Saúde Pública da USP]. Trata-se de um estudo com o propósito de inserir nas análises das condições de saúde a variável raça, enquanto categoria analítica para avaliar o impacto do racismo na saúde da população negra. Traça o perfil de mortalidade da população branca e população negra na cidade de São Paulo-SP, em 1995. Revela um perfil mais crítico de saúde da população negra, especialmente pelo peso das mortes violentas, 4a causa de óbito para a população branca, 11,4% do óbitos e 2a causa de óbito para a população negra, 23,4%; pela semelhança do perfil de mortalidade proporcional por faixa etária da mulher negra com o homem branco, 40,7% e 39%, respectivamente, dos óbitos ocorrem antes dos 50 anos, contrariando a diferença por sexo -é mulher, mas é negra; pela maior perda de anos potenciais de vida do homem negro, que perde 40 anos em cada óbito por causas externas, perdendo o homem branco, pela mesma causa,36 anos. O negro morre antes. Conclui que o racismo, enquanto categoria analítica, deva ser inserido nas análises da dimensão social do processo saúde-doença.ABSTRACT Barbosa, M.I. Racismo e Saúde. São Paulo, 1998 [Tese de doutorado -Faculdade de Saúde Pública da USP].The objective of this study, is to analyse the health conditions, the races as variable in its analitycal category in order to appraise the impact of racism on health of the negro populations, outlining the mortality rates amongst black and white populations in the city of São Paulo-Brazil, in 1995.The study shows that the black populations have a worse health conditions, specially for the burden of violent deaths, 4a cause for white populations, 11,4°/o of deaths and 2a cause for black populations, 23,4% of deaths; for similarity between black woman and white man in age mortality, 40,7% and 39%, respectively, die before 50 years, in opposition to gender differences in mortalityshe's woman but she's black; for more years of life lost for each violent death, 40 years to black man and 36 years to white man. The black populations die before.This studey concludes that racism as analitycal category shall be considered in the analysis of the social dimension of the health-illness process. ,

Objective. To understand the implications of institutionalracism in the therapeutic itinerary of patients withchronic renal failure (CRF) in the search for diagnosis andtreatment of the disease. Methods. Descriptive, qualitativestudy developed with 23 people with CRF in a regionalreference hospital for hemodialysis treatment in NortheastBrazil. Two techniques of data collection were used: semistructured interview and consultation to the NEFRODATAelectronic medical record. For systematization andanalysis, the technique of content analysis was used. Results. Black and white people with CRF showedsignificant divergences and differences in their therapeuticitineraries: while white people had access to diagnosisduring outpatient care in other medical specialties, blackpeople were only diagnosed during hospitalization. Inaddition, white people had more access to private health plans when compared to black people, which doubles the possibility of access tohealth services. Moreover, even when the characteristics in the itinerary of blackand white people were convergent, access to diagnosis and treatment proved tobe more difficult for black people. Conclusion. The study showed the presence ofinstitutional racism in the therapeutic itinerary of people with kidney disease inwhich black people have greater difficulty in accessing health services. In this sense,there is a need to create strategies to face institutional racism and to consolidate theNational Policy for Comprehensive Health Care of the Black Population.