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Health Implications of Racism, Sexism, and Social Class: Reflections From Nearly 30 Years Ago

  • Ana V. Diez Roux
    Correspondence
    Address correspondence to: Ana V. Diez Roux, MD, PhD, MPH, Dean's Office, Dornsife School of Public Health, Nesbitt Hall, 3215 Market Street, Philadelphia PA 19104.
    Affiliations
    Dean's Office, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania
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      In 1993, when the article “Racism, Sexism and Social Class: Implications for Studies of Health, Disease and Well-Being” by Krieger et al.
      • Krieger N
      • Rowley DL
      • Herman AA
      • Avery B
      • Phillips MT.
      Racism, sexism, and social class: implications for studies of health, disease, and well-being.
      was originally published in the American Journal of Preventive Medicine (AJPM), I was working on my PhD at the Johns Hopkins University School of Hygiene and Public Health and making the case to often incredulous audiences that it was meaningful to examine the contextual impacts of neighborhood disadvantage on health even if individual-level socioeconomic data were available. As was the case with other articles by Krieger on the themes of health inequities and social causation, I could not wait to read it. I would spend hours photocopying articles in the Welch Library, and I am sure I have a copy of this article buried somewhere in my old files (yes, I still have some of them!). Back then, I would highlight in yellow marker what I viewed as the most significant statements. This would have been hard to do in an article so thoughtful and erudite and absolutely packed with observations and ideas.
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