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Structural Racism: Causes of Health Inequities in the U.S.

What You'll Learn

  • Describe the impact of structural racism on individuals.
  • Identify and discuss how historical events, policies and socio-political institutions have shaped and contributed to current health inequities.
  • Apply public writing strategies to work against racial inequities in health.
3 Modules
18 Hours
6 hrs per module (approx.)

About Structural Racism: Causes of Health Inequities in the U.S.

Racial health disparities - differences in health outcomes based on race - are rampant in the U.S., and many incorrectly assume these are due to differences in behavior or genetics. To understand these differences, and ultimately identify solutions to eliminate these disparities, we need to dig deeper and look at the root causes. We need to examine how our socio-political institutions have racial inequities embedded within their policies and practices. We need to re-examine history to learn how and why race was created and how it was used to advance the interests of whites. We need to examine how state violence is selectively used to reinforce racial inequities.

Learners in this course will be guided through these examinations in order to gain a deeper understanding of why health disparities exist in the U.S. and what will be necessary to eliminate these disparities. Answering questions pertaining to course materials will give learners the opportunity to self-reflect in an effort to deepen their thinking about health inequities.

Additionally, course assignments will give learners the opportunity to practice advocacy skills through the creation of writing products intended to convince decision-makers to change their perspective. To fix the problem we need to accurately diagnose it, and this course will help learners diagnose the root causes of the problem.

By the end of this course, learners will be able to:
- Describe the impact of structural racism on individuals.
- Identify policies and events that shaped current racial health inequities.
- Discuss how historical events contributed to current racial health inequities.
- Describe how inequities in institutions like schools, businesses, and policing contribute to current racial health inequities.
- Apply public writing strategies to work against racial inequities in health.

Skills You'll Gain

  • Community Health Improvement
  • Health Equity
  • Population Health
  • Public Health
  • Social Determinants Of Health
  • Social Justice

What You'll Earn

Certificate of Completion:
Certificates of completion acknowledge knowledge acquired upon completion of a non-credit course or program.
Experience Type
100% Online
Format
Self-Paced
Subject
  • Health
Platform
Coursera
Welcome Message

Welcome to Structural Racism: Causes of Health Inequities in the U.S. This course examines how historical, political, and institutional forces create and sustain racial health disparities. Learners analyze root causes and practice advocacy through applied writing assignments.
This abbreviated syllabus description was created with the help of AI tools and reviewed by staff. The full syllabus is available to those who enroll in the course.

Course Schedule

Module 1: Course Introduction & Policy, Politics, and Racial Health Inequities

  • Video: Welcome to the Course!
  • Reading: Meet Your Instructors
  • Reading: Course Syllabus
  • Reading: Overview of Writing Assignments
  • Reading: Community Guidelines
  • Reading: Course Pre-Survey
  • Reading: Introduction and Guidelines for This Week
  • Video: Introduction to Systems, Health Equity, and Inequities
  • Reading: Read and Listen: Regulations, Laws, and Legal Practices Affecting Health Equities & How Systemic Racism Determines Black Health & Wealth In Chicago
  • Video: Systemic Racism and Health
  • Video: Health Equity and Inequities: COVID-19 Case
  • Video: The Affordable Care Act (ACA): Historical and Contemporary Stakes
  • Reading: Read: The Fight for Health Care has Always Been About Civil Rights & How Obamacare Saved Detroit
  • Reading: Watch: Medicare and Medicaid at 50: America's Entitlement Programs in the Age of Affordable Care
  • Video: Race, Politics and Health: Interview with Holly Jarman
  • Reading: Read: Survey reveals racial, political differences in COVID-19 responses
  • Reading: Week 1 Wrap Up and Key Takeaways
  • Reading: Brief Introduction to the Workbook Tool
  • App Item: Week 1 Writing Assignment in Workbook
  • Discussion Prompt: Policy, Politics, and Racial Health Inequities
  • Graded: Week 1 Quiz

Module 2: Historical Roots of Health Inequities

  • Reading: Introduction and Guidelines for this Week
  • Reading: Read: The Importance of Teaching History of Inequities in Public Health Programs
  • Video: Who invented race, racism, & white supremacy?
  • Reading: Optional Listen: How Race Was Made (Seeing White, Part 2)
  • Video: How was race, racism, & white supremacy first codified into law in the US?
  • Reading: Listen: Made in America (Seeing White, Part 3)
  • Video: What is Settler Colonialism & How Does it Impact Health?
  • Reading: Optional Reading: The American Indian Holocaust: Healing Historical Unresolved Grief
  • Reading: Watch: Impact of Unresolved Trauma on American Indian Health Equity by Donald Warne
  • Video: Racialization & Marginalization of Immigrants in the U.S.
  • Reading: Read: Borders, Laborers, and Racialized Medicalization Mexican Immigration and US Public Health Practices in the 20th Century
  • Reading: Optional Listen: Immigration Nation & Citizen Thind (Seeing White, Part 10)
  • Video: 20th Century Policies as Affirmative Action for Whites
  • Reading: Watch and Listen: Housing Segregation In Everything & Location! Location! Location!
  • Reading: Optional Listen: White Affirmative Action
  • Reading: Optional Reading: What is Owed
  • Video: History & Health Inequities: Interview with Jannah Bierens
  • Reading: Optional Read: The Case for Reparations
  • Reading: Week 2 Wrap Up and Key Takeaways
  • App Item: Week 2 Writing Assignment in Workbook
  • Discussion Prompt: Historical Roots of Health Inequities
  • Graded: Week 2 Quiz

Module 3: State Violence and Health Inequities

  • Reading: Introduction and Guidelines for this Week
  • Reading: Read: Ending police violence requires public health-based approach: APHA statement guiding work, outreach
  • Video: Law Enforcement Making Its Way Into Your Body
  • Reading: Explore and Read: Mapping Police Violence & Pain of police killings ripples outward to traumatize Black people and communities across US
  • Reading: Read: The fallout of police violence is killing black women like Erica Garner
  • Reading: Watch and Read: Ice El Hielo & How a major immigration raid affected infant health
  • Reading: Read: Get Armed Police Out of Emergency Rooms
  • Reading: Read: This How Racial Health Inequities Undermine Democracy
  • Video: Law Enforcement Violence is Patterned by Race
  • Reading: Read: Multiple studies find racial profiling in traffic stops
  • Reading: Read: An undercount of Latinos killed by police
  • Reading: Read: The forgotten minority in police shootings
  • Reading: Optional Read: New Report Details How and Why Routine Traffic Stops Turn Deadly
  • Reading: Read: How Racial Profiling Goes Unchecked in Immigration Enforcement
  • Reading: Read: Tired of Being Called a Terrorist
  • Reading: Read: The claim that drugs killed George Floyd relies on a racist trope
  • Video: Law Enforcement and Community Response: Interview with Maria Thomas
  • Reading: Read: What works to reduce police brutality
  • Reading: Read: John Legend: We need to #SayHerName: Happy birthday, Breonna Taylor (Op‑ed)
  • Reading: Read: Six Ideas for a Cop-Free World
  • Video: Race, Drugs and Law Enforcement Violence: Part 1
  • Video: Race, Drugs, and Law Enforcement Violence: Part 2
  • Reading: Week 3 Wrap Up and Key Takeaways
  • App Item: Week 3 Writing Assignment
  • Discussion Prompt: State Violence and Health Inequities
  • Graded: Week 3 Quiz
  • Graded: Final Course Writing Assignment
Grading Policy

Learners must earn an overall passing grade. There are three module quizzes worth approximately 23% of your final grade, and a peer-reviewed final assignment worth 30% of your final grade.

Portrait of Paul Fleming
Paul Fleming

Assistant Professor of Health Behavior & Health Education

Course content developed by U-M faculty and managed by the university. Faculty titles and affiliations are updated periodically.

Beginner Level

No prior experience required

Course Video

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