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Saffron Karlsen, MSc and James Y. Nazroo, PhD

Saffron Karlsen and James Y. Nazroo are with the Department of Epidemiology and Public Health, University College London, England.

Correspondence: Requests for reprints should be sent to Saffron Karlsen, MSc, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Pl, London WC1E 6BT (e-mail: s.karlsen{at}public-health.ucl.ac.uk).

Objectives. This study explored associations between racism, social class, and health among ethnic minority people in England and Wales.

Methods. We conducted a series of regression analyses on cross-sectional data from the Fourth National Survey of Ethnic Minorities to explore the relation between different indicators of racism and health and household occupational class.

Results. Marked independent associations existed between reported experience of racism and perceptions of Britain as a "racist society," household social class, age, sex, and various mental and physical health indicators. These associations showed reasonable consistency across the different ethnic groups.

Conclusions. The different ways in which racism may manifest itself (as interpersonal violence, institutional discrimination, or socioeconomic disadvantage) all have independent detrimental effects on health, regardless of the health indicator used.

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