Understanding Race and Health Inequity in the UK

This timely volume addresses the interpersonal, institutional, and structural factors underpinning inequities in healthcare access, experiences, and outcomes among racialised communities living in the United Kingdom (UK) today. Bringing together researchers from the UK and Ireland, ranging from established scholars and early-career researchers to those working at the interface of research and community health, this volume assembles their trailblazing work to examine the complex relationship between race, racism, and health. Organised according to the following six themes: Questioning, Research and Data, Maternal Health, Mis/Trust in Services, Chronic Conditions and the Social Determinants of Health, and Beyond Resilience, the chapters uncover how racially unjust systems and practices generate unequal outcomes, while outlining the urgent changes needed to redress these systemic inequities. By examining how racial inequities are produced, sustained, and compounded across key domains of society, healthcare, and health research, the volume offers a critical guide for understanding and, more importantly, addressing racial and ethnic inequities in health in the UK. This unique and important book is essential reading for educators, students, and policy makers within public health, medical education, public policy, and beyond.

Melanie Etti, Medical Doctor and NIHR Academic Clinical Fellow, University of Oxford, UK. Julie Botticello, Senior Lecturer and Course Leader, MSc Public Health, University of East London, UK.

0. Understanding Race and Health Inequity in the UK Part 1 Questioning 1. Access and Barriers to Health and Healthcare: E-Mail Conversations About Underserved BAME Populations and Health Inequity in the UK 2. Unpacking the Paradox: Excluded Communities Within Geographic Centres of Medical Excellence Part 2 Research and Data 3. Race and Health Research: Challenges for Transforming Practice 4. Artificial Intelligence (AI) and Racial Health Equity: Promise and Peril Part 3 Maternal Health 5. Understanding Race and Health Inequity in the UK: The Impact of Ethnicity on Maternal Health Outcomes 6. Language Interpretation Provision in Maternity Services: A Racialised Perspective Part 4 Mis/Trust in Services 7. The Role of Trust in Improving Health Among Gypsy, Roma and Traveller Communities 8. Uptake of Mental Health Services: A Case of Black Sub-Saharan Afrikan Migrant Communities in the West Midlands of England, UK Part 5 Chronic Conditions and the Social Determinants of Health 9. Invisible in the System: Sickle Cell and the Struggle for Equity 10. Managing Multiple Long-Term Conditions in Socioeconomically Deprived and Ethnically Diverse Populations Part 6 Beyond Resilience 11. The InterPart of Resilience and Systemic Barriers in Accessing Mental Health Services Among Black African and African Caribbean Communities in the UK 12. Conclusions