Racism as a Social Determinant of Health for Newcomers towards Disrupting the Acculturation Process

Previous research has demonstrated that racism is a social determinant of health (SDOH), particularly for racialized minority newcomers residing in developed nations such as the United States, Canada, New Zealand, and European countries. This paper will focus on racism as a SDOH for racialized newcomers in these countries. Racism is defined as "an organized system of privilege and bias that systematically disadvantages a group of people perceived to belong to a specific race". Racism can be cultural, institutional, or individual. Berry's model of acculturation describes ways in which racialized newcomers respond to their post-migration experiences, resulting in one of several modes of acculturation; these are integration, assimilation, separation, and marginalization. After examining the definition and description of racism, we argue that racism impacts newcomers at the site of acculturation; specifically, the paths they choose, or are forced to take in response to their settlement experiences. We posit that these acculturation pathways are in part, strategies that refugees use to cope with post-displacement stress and trauma. To support acculturation, which is primarily dependent on reducing the effects of cultural, institutional, and individual racism, health policymakers and practitioners are urged to acknowledge racism as a SDOH and to work to reduce its impact.