Stormy Weather: Race, Gene Expression, and the Science of Health Disparities
Nancy Krieger, PhD
The author is with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass.
Correspondence: Requests for reprints should be sent to Nancy Krieger, PhD, Department of Society, Human Development and Health, Harvard School of Public Health, Kresge 717, 677 Huntington Ave, Boston, MA 02115 (e-mail: nkrieger{at}hsph.harvard.edu).
In the current US political climate, conservative foundationsare seeking to frame debates over determinants of racial/ethnichealth disparities as a matter of "politically correct" unscientificideology (concerning the health impacts of discrimination) vsscientific yet "politically incorrect" expertise rooted in biologicalfacts (concerning genes).
I draw on historical and contemporary examples to place conservativepolemics in context, and also highlight fundamental flaws intheir arguments involving the use of spurious categories (e.g.,Caucasian), logical fallacies, temporal fallacies, and an erroneousemphasis on gene frequency over gene expression. The largergoal is to strengthen development of a more critical, reflexive,and rigorous science capable of generating evidence useful forrectifyingrather than perpetuatingsocial disparitiesin health.
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