Racial and Ethnic Categories in Biomedical Research: There is no Baby in the Bathwater

The use of racial categories in biomedicine has had a long history in the United States. However, social hierarchy and discrimination, justified by purported scientific differences, has also plagued the history of racial categories. Because "race" has some correlation with biological and genetic characteristics, there has been a call not to "throw the baby out with the bathwater" by eliminating race as a research or clinical category. I argue that race is too undefined and fluid to be useful as a proxy for biology or genetics.     

Race, concentrated disadvantage, and recidivism: A test of interaction effects

This study sought to explore if the structural characteristics of a community (specifically what sociologists term concentrated disadvantage) interact with race in predicting recidivism. The literature on recidivism stresses the effects of individual factors. This study considered whether effects of the community in which an ex-prisoner lives should be further explored. Of particular interest was the possibility of interaction between concentrated disadvantage and race. Results showed that race strongly predicts recidivism (Blacks being much more likely to recidivate than Whites). This remained the case in spite of multiple controls accounting for racial differences. Neither concentrated disadvantage nor the interaction between it and race had significant effects on recidivism. The study considered what might account for the lingering racial effect, and why the community does not affect the likelihood of recidivism.     

The Rule of Law Beyond Thick and Thin

In this paper it is argued that different understandings of the requirements of the Rule of Law can to a large extent be explained by the position taken with regard to two interrelated distinctions. On the one hand, the Rule of Law can be regarded as either a principle of law or as a principle of governance. On the other hand, the requirements of the Rule of Law can be regarded as defining either a minimum standard which something has to meet in order to be law or as an aspirational standard identifying what it means to be good law. In combination these two distinctions define a range of perspectives on the nature of the Rule of Law that are complementary rather than mutually exclusive.     

The penology of racial innocence: the erasure of racism in the study and practice of punishment

In post–civil rights America, the ascendance of “law-and-order” politics and “postracial” ideology have given rise to what we call the penology of racial innocence. The penology of racial innocence is a framework for assessing the role of race in penal policies and institutions, one that begins with the presumption that criminal justice is innocent of racial power until proven otherwise. Countervailing sociolegal changes render this framework particularly problematic. On the one hand, the definition of racism has contracted in antidiscrimination law and in many social scientific studies of criminal justice, so that racism is defined narrowly as intentional and causally discrete harm. On the other hand, criminal justice institutions have expanded to affect historically unprecedented numbers of people of color, with penal policies broadening in ways that render the identification of racial intent and causation especially difficult. Analyses employing the penology of racial innocence examine the ever-expanding criminal justice system with limited definitions of racism, ultimately contributing to the erasure of racial power. Both racism and criminal justice operate in systemic and serpentine ways; our conceptual tools and methods, therefore, need to be equally systemic and capacious.     

Beyond best practices: strict scrutiny as a regulatory model for race-specific medicines

A resounding debate has ensued over the utility of race in biomedical research, particularly as new drugs claiming to serve particular racial populations attempt to enter the marketplace. This creates a number of challenges for the Food and Drug Administration over how best to regulate new drugs seeking race specific indications. This article suggests that it may be beneficial for the FDA to turn to an area with experience negotiating such dilemmas--Constitutional Law--and its approach--strict scrutiny--to help guide when and under what circumstances Government should give effect to racial categories in biomedicine.     

Racial meanings and scientific methods: changing policies for NIH-sponsored publications reporting human variation

Conventional wisdom holds that race is socially constructed and not based on genetic differences. Cutting-edge genetic research threatens this view and hence also endangers the pursuit of racial equality and useful public health research. The most recent incarnation of racial genetics is not due to scientific discoveries about population differences per se, but follows from how the United States and other governments have organized racial categories. This article explains tensions in U.S. government guidelines and publications on the study of human genetic diversity, points out the absence of any compelling public health benefits that might justify this research, introduces conceptual tools for addressing the complicated heuristic and policy problems posed by medical population genetics, and offers two policy proposals to remedy the current problems.     

The Joint Effects of Gender and Race/Ethnicity on Sentencing Outcomes in Federal Courts

Using data from the U.S. Sentencing Commission, the present study examines the interaction effects of gender and race/ethnicity on sentencing outcomes of male and female offenders in federal courts. Findings indicate that female offenders in all racial/ethnic categories receive less severe sentence outcomes than male offenders in the same categories, even after legal, extralegal, and contextual factors are controlled. In addition, racial/ethnic differences are found within gender groups, such that Hispanic males are more likely to be incarcerated and Black males receive longer sentence terms compared to White male offenders. However, contrary to expectations, the analysis indicates that White females are more likely to be incarcerated than Black and Hispanic females and receive longer sentence terms than Hispanic females. Gender and racial/ethnic interactions are also explored across offense type (drug vs. non-drug) and type of sentencing departure (no departure, downward, or substantial assistance). Implications for future research are also discussed.     

Thinking Critically about Race and Genetics

We must critically rethink race and genetics in the context of the new genetic breakthroughs and haplotype mapping. We must avoid the slippery slope of turning socially constructed racial categories into genetic realities. It is a potentially dangerous arena given the history of racialized science in the United States and globally. Indeed, the new advances must be viewed in the context of a long history of racial inequality, continuing into the current period. This is more than a question of how carefully we use categories of analysis such as race. Justice and equity must be core to our considerations. There is a community stake in this work that must be seriously considered and included in decision making. A progressive and critical analysis is in order.     

The methodological struggles of racial profiling research: a causal question that automobile stop data has yet to answer

Automobile stop research finds that citizen race influences officer decision-making. Researchers, however, report methodological issues inhibiting them from drawing causal inferences about the existence of racial profiling. The purpose of this study is to deconstruct this field of inquiry through a causal lens to inform the next generation of scholarship. Through an analysis of automobile stop data, temporal ordering issues are exposed. Relating to association, most studies find that racial minorities are more likely to be searched, however, spuriousness issues continue to plague racial profiling studies as researchers rarely estimate departmental, passenger, vehicle, and temporal variables. To confront these issues, researchers are encouraged to engage in primary data collection and explore recent statistical innovations in their analytical strategies.     

Race categorization and the regulation of business and science

Despite the lack of consensus regarding the meaning or significance of race or ethnicity amongst scientists and the lay public, there are legal requirements and guidelines that dictate the collection of racial and ethnic data across a range of institutions. Legal regulations are typically created through a political process and then face varying kinds of resistance when the state tries to implement them. We explore the nature of this opposition by comparing responses from businesses, scientists, and science-oriented businesses (pharmaceutical and biotechnology companies) to U.S. state regulations that used politically derived racial categorizations, originally created to pursue civil rights goals. We argue that insights from cultural sociology regarding institutional and cultural boundaries can aid understanding of the nature of resistance to regulation. The Food and Drug Administration's guidelines for research by pharmaceutical companies imposed race categories on science-based businesses, leading to objections that emphasized the autonomy and validity of science. In contrast, similar race categories regulating first business by the Equal Employment Opportunity Commission (EEOC) and later scientific research sponsored by the National Institutes of Health (NIH) encountered little challenge. We argue that pharmaceutical companies had the motive (profit) that NIH-supported scientists lacked and a legitimate discourse (boundary work of science) that businesses regulated by the EEOC did not have. The study suggests the utility of a comparative cultural sociology of the politics of legal regulation, particularly when understanding race-related regulation and the importance of examining legal regulations for exploring how the meaning of race or ethnicity are contested and constructed in law.     

Racism and sexism at work

Both racism and sexism have had the effect of handicapping selected groups in terms of salary and access to jobs, promotions, and power. However, the categories of race and gender, and the experience of racism and sexism, differ in many ways. This article reviews the differences resulting from definitions of race and gender, as well as those differences stemming from historical, legal, and demographic factors. In particular, we focused on the interactive effects of racism and sexism in the experience of women of color. We examine the assumption that affirmative action operates equivalently for all racial and gender groups, and suggest some directions for further research.     

Race and decision making within juvenile justice: The importance of context

Previous tests of the influence of race on decision making within juvenile justice proceedings have traditionally focused on case-level variables and/or macrolevel factors that characterize the jurisdictions under study. Often excluded are measures of the attitudinal context within which decision making occurs. Using a revised conflict perspective that incorporates the role of racial stereotyping, hypotheses are developed centering on racial differences in case processing decisions within four midwest jurisdictions. Attitudes of juvenile court officials toward the punitiveness of the juvenile court and perceptions regarding differences between the behavior and attitudes of whites and those of African Americans are included in additive and race interactive models of five decision-making stages. Results indicate both lenient and harsh treatment of African Americans compared to whites. Hypotheses regarding racial stereotyping in the decision-making process receive some support and the discussion focuses on how inconsistent racial effects may be a function of variation in structural “coupling” across system decision points.     

Guidelines for Collecting and Recording the Race and Ethnicity of Juveniles in Conjunction with Juvenile Delinquency Disposition Reporting to the Juvenile Court Judges' Commission

One of the most compelling reasons for accurate racial coding of juveniles involved in the juvenile justice system is to ensure that all youth are treated fairly, regardless of race or ethnicity. Pennsylvania juvenile courts and probation departments now have instructions and guidelines for collecting and recording race and ethnicity in compliance with Federal standards. These guidelines can be easily adopted by other states and jurisdictions.     

Pharmaceutical meaning-making beyond marketing: racialized subjects of generic thiazide

In contrast to discussions of BiDil, this paper explores racial meaning-making processes around an old generic hypertension drug. By unpacking a vignette about race and thiazide outside marketing or medicine, it shows that racialization of drugs exceeds those spheres and moves in unpredictable ways.     

Teaching Constructive Dialogue as a Social Medicine Tool for Peace

The social medicine learning communities of which we are a part comprise individuals from Uganda, Rwanda, Zimbabwe, Haiti, the United States, Canada, and Lebanon among other countries. United in an interest to understand and address the social and structural determination of health, learners have spanned a wide range of religious, ethnic, socioeconomic, and racial backgrounds. These diverse social locations have shaped lives in unique ways and given rise to profoundly divergent perspectives on sexual orientation, gender norms, reproductive health, and the role of medicine and health professionals in society among other issues. To navigate these differences and to equip our students with an integral tool for social justice and health equity, we teach constructive dialogue as a tool, amongst many others, for health professionals.     

紧急医疗行为责任排除之法律分析——有感于“拒签”事件

在医患关系高度紧张的今天，因患者（家属）“拒签”，而使悲剧时常上演。在紧急治疗行为中，患者（家属）不明事理“拒签”情况下，如何使医方（医生）摆脱两难选择：一方面是“治病救人”神圣使命；另一方面医院（医生）可能被迫究侵犯患者知情决定权的侵权责任。通过紧急治疗行为责任排除命题的探讨，从为医院（医生）排除两难选择提供法律上的路径。     

On terror, drugs and racial profiling

We show that for racial profiling (defined as policy rules that employ statistical discrimination based on racial attributes) to be efficient in fighting ordinary crime, it needs to focus on the racial composition of marginal offenders. Efficiency thus may counter-intuitively call for targeting the group with the lower offending rates. In the context of terror, however, it has to be based primarily on differences in offending rates across racial population groups (group-wise averages). We demonstrate that, assuming correlation between race and crime, racial profiling would nearly always be efficient. Finally, we discuss equity considerations and suggest that if awarding compensation is perceived to be a viable policy option, it should be paid on an ex ante basis.     

Discourse of decency: white nationalists,white antiracists,and the criminality of color

Contemporary research on white racial attitudes on race and crime reflect a grouping of opinions on a traditional liberal-conservative scale. These two groupings reflect what sociologists and political scientists call ‘issue constraint’ or a ‘clustering’ of ideas into a specific ideological worldview. Many now argue this gulf is growing; a white ‘culture war’ that many interpret as evidence of the increasing fracturing and political bifurcation of white racial identities over ‘hot button’ topics like race and crime. While a substantial literature on race and crime finds white racial attitudes to vary by educational level and political orientation, we know less about shared understandings of crime and race in relation to the processes of white racial identity formation. Rather than view attitudinal statements on race and crime as accurate reflections of essential different and static white racial political positions or ideological orientations, additional scholarship can examine discourse on crime and race as constitutive of the white identities that wield them. Drawing from an ethnographic study with conservative white nationalists and liberal white antiracists, this paper addresses the following question: what is the relationship between discourse on crime and race and the ongoing process of white racial identity formation?     

The Social Scientist and Rehabilitative Crime Policy

Social scientists are in a quandary about crime policy. On the one hand, the tools of their discipline incline them naturally toward a search for the causes of differences in delinquent behavior, an inclination which appears to be supportive of the potential for rehabilitative components to crime policy. Both the premise of determinism and the methodology of differentiation are intellectually compatible with the prospects for rehabilitation, because both are requisites for a crime control strategy that seeks the impact of purposeful changes in the lives or attitudes of delinquents on subsequent behavior. On the other hand, social scientists are being confronted with a number of arguments that question the utility for social policy of adherence to these assumptions. The validity of some of these arguments is explored briefly in this article. They are found to suffer from an erroneous conception of the logic of determinism, an underdevelopment of the notion of deterrence, or an artifactual conception of the requisites for rehabilitation.     

Is race-based medicine good for us?: African American approaches to race, biomedicine, and equality

This article presents a preliminary framework for exploring the intersection of science and racial politics in the public debate about race-based pharmaceuticals, especially among African Americans. It examines the influence of three political approaches to race consciousness on evaluations of racial medicine and offers an alternative critique.