
Addressing The Interlocking Impact Of Colonialism And Racism On Filipinx/a/o American Health Inequities
Author(s) -
Melanie Sabado-Liwag,
Erin Manalo-Pedro,
Roy Taggueg,
Adrian Matias Bacong,
Alexander Adia,
Donna Demanarig,
Jake Ryann Sumibcay,
Claire ValderamaWallace,
Carlos Irwin A. Oronce,
Rick Bonus,
Ninez A. Ponce
Publication year - 2022
Publication title -
health affairs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.837
H-Index - 178
eISSN - 2694-233X
pISSN - 0278-2715
DOI - 10.1377/hlthaff.2021.01418
Subject(s) - racism , colonialism , disadvantage , gender studies , sociology , health care , health equity , politics , political science , criminology , law
Within the monolithic racial category of "Asian American," health determinants are often hidden within each subgroup's complex histories of indigeneity, colonialism, migration, culture, and socio-political systems. Although racism is typically framed to underscore the ways in which various institutions (for example, employment and education) disproportionately disadvantage Black/Latinx communities over White people, what does structural racism look like among Filipinx/a/o Americans (FilAms), the third-largest Asian American group in the US? We argue that racism defines who is visible. We discuss pathways through which colonialism and racism preserve inequities for FilAms, a large and overlooked Asian American subgroup. We bring to light historical and modern practices inhibiting progress toward dismantling systemic racial barriers that impinge on FilAm health. We encourage multilevel strategies that focus on and invest in FilAms, such as robust accounting of demographic data in heterogeneous populations, explicitly naming neocolonial forces that devalue and neglect FilAms, and structurally supporting community approaches to promote better self- and community care.