Dismantling Systemic Racism and Structuration Theory

Misir, Prem

doi:10.1007/978-3-030-88766-7_5

Cited by 2 publications

(2 citation statements)

References 55 publications

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“…The theory of structuration groups social structures into 'external' and 'internal' [15,18,19]. External structures represent the social structures in which people operate and are mediated by institutional infrastructures and power relations, political and medical 'authority', social position and the associated identity and network of social interactions, and race, racial inequality and racialized social environments where Black and other non-White group members are routinely stigmatised [20]. Structural constraints and opportunities are created by health and social policies, and this impacts people's abilities to leverage resources and be active in their own health [21].…”

Section: Theoretical Underpinningsmentioning

confidence: 99%

Beyond Information Provision: Analysis of the Roles of Structure and Agency in COVID-19 Vaccine Confidence in Ethnic Minority Communities

Poduval,

Kamal,

Martin

et al. 2023

IJERPH

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People from Black and Asian backgrounds are more likely to die from COVID-19 but less likely to be vaccinated, threatening to exacerbate health inequalities already experienced by ethnic minority groups. The literature suggests that mistrust rooted in structural inequality (including socioeconomic position and experience of racism) may be a key barrier to COVID-19 vaccine uptake. Understanding and addressing structural inequality is likely to lead to longer-term impacts than information alone. The aim of this study is to draw on health and sociological theories of structure and agency to inform our understanding of how structural factors influence vaccine confidence. We conducted qualitative interviews and focus groups with 22 people from London and the surrounding areas from December 2021 to March 2022. Fourteen participants were members of the public from ethnic minority backgrounds, and seven were professionals working with the public to address concerns and encourage vaccine uptake. Our findings suggest that people from ethnic minority backgrounds make decisions regarding COVID-19 vaccination based on a combination of how they experience external social structures (including lack of credibility and clarity from political authority, neglect by health services, and structural racism) and internal processes (weighing up COVID-19 vaccine harms and benefits and concerns about vaccine development and deployment). We may be able to support knowledge accumulation through the provision of reliable and accessible information, particularly through primary and community care, but we recommend a number of changes to research, policy and practice that address structural inequalities. These include working with communities to improve ethnicity data collection, increasing funding allocation to health conditions where ethnic minority communities experience poorer outcomes, greater transparency and public engagement in the vaccine development process, and culturally adapted research recruitment processes.

show abstract

Section: Theoretical Underpinningsmentioning

confidence: 99%

Beyond Information Provision: Analysis of the Roles of Structure and Agency in COVID-19 Vaccine Confidence in Ethnic Minority Communities

Poduval,

Kamal,

Martin

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…The theory of structuration groups social structures into 'external' and 'internal ' [15,18,19]. External structures represent the social structures in which people operate and are mediated by institutional infrastructures and power relations, political & medical 'authority', social position and associated identity and network of social interactions, and race, racial inequality and racialized social environments where Black and other non-White group members are routinely stigmatized [20]. Structural constraints and opportunities are created by health and social policies, and this impacts people's ability to leverage resources and be active in their own health [21].…”

Section: Theoretical Underpinningsmentioning

confidence: 99%

Beyond Information Provision: A Critical Analysis of the Roles of Structure and Agency in Decision-Making about COVID-19 Vaccination in ETHNIC minority Communities and Recommendations for Primary Care

Poduval,

Kamal,

Martin

et al. 2023

Preprint

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People from Black and Asian backgrounds are more likely to die from Covid-19 but less likely to be vaccinated, threatening to exacerbate health inequalities already experienced by ethnic minority groups. Literature suggests that mistrust rooted in structural inequality may be a key barrier to Covid-19 vaccine uptake. We need to better understand how structural inequalities influence vaccine confidence. Understanding and addressing these processes is likely to lead to longer-term impacts than information alone. We draw on health and sociological theories of structure and agency to inform our understanding of structural factors. We conducted qualitative interviews and focus groups with 22 people from London and surrounding areas in December 2021 to March 2022. Fifteen participants were members of the public from ethnic minority backgrounds and 7 were professionals working with the public to address concerns and encourage vaccine uptake. Our findings suggest that people from ethnic minority backgrounds make decisions regarding Covid-19 vaccination based on a combination of how they experience external social structures (including political authority, social positioning and racial inequality) and internal processes (what they believe and understand about Covid-19 vaccines). We may be able to support knowledge accumulation through the provision of reliable and accessible information, particularly through primary and community care. But we recommend a number of changes to research, policy and practice which address structural inequalities. These include working with communities to improve ethnicity data collection, increasing funding allocation to health conditions where ethnic minority communities experience poorer outcomes, greater transparency and public engagement in the vaccine development process, and culturally adapted research recruitment processes.

show abstract

Dismantling Systemic Racism and Structuration Theory

Cited by 2 publications

References 55 publications

Beyond Information Provision: Analysis of the Roles of Structure and Agency in COVID-19 Vaccine Confidence in Ethnic Minority Communities

Beyond Information Provision: Analysis of the Roles of Structure and Agency in COVID-19 Vaccine Confidence in Ethnic Minority Communities

Beyond Information Provision: A Critical Analysis of the Roles of Structure and Agency in Decision-Making about COVID-19 Vaccination in ETHNIC minority Communities and Recommendations for Primary Care

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