Racism, xenophobia, discrimination, and the determination of health.

This Series shows how racism, xenophobia, discrimination, and the structures that support them are detrimental to health. In this first Series paper, we describe the conceptual model used throughout the Series and the underlying principles and definitions. We explore concepts of epistemic injustice, biological experimentation, and misconceptions about race using a historical lens. We focus on the core structural factors of separation and hierarchical power that permeate society and result in the negative health consequences we see. We are at a crucial moment in history, as populist leaders pushing the politics of hate have become more powerful in several countries. These leaders exploit racism, xenophobia, and other forms of discrimination to divide and control populations, with immediate and long-term consequences for both individual and population health. The COVID-19 pandemic and transnational racial justice movements have brought renewed attention to persisting structural racial injustice.

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Déclaration de conflit d'intérêts

Declaration of interests DD and SS are co-founders of the Race & Health collective within UCL, an organisation committed to tackling the health effects of racism, xenophobia, and discrimination. SS is also a trainee representative of the Royal College of Obstetricians and Gynaecologists’ Race Equality Taskforce, and regularly speaks at events and advises organisations on related topics. SS and DD are recipients of the Wellcome Trust grant on climate and racial justice (grant number 24687/Z/21/Z). All other authors declare no competing interests.