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Editorial commentary: public mental health and racism in Europe

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Several dramatic events, related to racism, have made headlines globally in recent months. The murder of George Floyd by a police officer in the United States is a tragedy that… Click to show full abstract

Several dramatic events, related to racism, have made headlines globally in recent months. The murder of George Floyd by a police officer in the United States is a tragedy that reinforced the Black Lives Matter movement which fights against police violence inflicted against Black people in the United States. The global media coverage of both the murder and the anti-racist protest movements have contributed to raising awareness not only of police violence but also the persistence of racism. In Europe, racial profiling and increasing violence in everyday interactions, during police checks or in detention of Afro-descendants in particular, whether they are European citizens or migrants, have been denounced by the European parliament [1]. Those who are designated ‘Muslim’ or ‘Black’ are particular victims of racism, as it was noticed in Belgium, whether in terms of negative attitudes towards them (insults, threats, aggression) or unemployment [2]. Occupational downgrading and unemployment, as for Afro-descendants, contrast with a generally high level of education. In a recent study on Afrodescendants in Belgium, Demart et al. indicated that a majority of respondents (80%) declared experiences of discrimination, unequal treatment or insults with references to skin colour or origin [3]. Racism is a type of discrimination with a physical motive. According to M. Foucault [4], European States used racism as a power to justify slavery and modern colonialisms (among which are Belgium, France, Germany, Spain, Italy, The Netherlands, and Spain). Racism aims at both constructing and producing difference targeting bodies (racialization), while establishing a hierarchical relationship between the self (viewed as the norm) and the racialized others (viewed as different), and hence the mistreatment of the later. Foucault viewed racism as a condition for the legitimising of the killing of those categorized as inferior. With regard to health, racism is seen as a social determinant of health and a global public health issue [5] that also affects mental health [6, 7]. Racism determines social inequalities in health, which are amplified in the context of disastrous situations. For example the current COVID-19 pandemic [5], through discriminatory health policies that can aggravate precariousness, or through acts of violence [8]. Authors note the importance of research on the deleterious impact of racism on health, including the lack of attention regarding relationships between the macro-micro levels of racism [9]. Racism has structural and institutional components that shape social hierarchy and daily interactions, resulting in potential social exclusion and deleterious consequences for racialized minorities [9]. Importantly, racism also interacts with other structural determinants (e.g., migration law and migrant status, class and gender power relations) that shape social position and that determine living and working circumstances, and overall well-being [10]. With regard to mental health, racism can be a normative experience for some minorities, resulting in psychological distress and poor mental health [7]. Chronic exposure to racism worsens mental health [11]. Racism has social and economic consequences, which in turn impact negatively on mental health of racialized minorities. Furthermore, racism negatively affects the mental health system and appropriate and timely mental health services of these groups [12]. Research reports how quality of mental health

Keywords: violence; health racism; racism; racism europe; health; mental health

Journal Title: Archives of Public Health
Year Published: 2021

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