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Letters   |    
Stigma, Race, and Culture
Kwame McKenzie, M.D.
Psychiatric Services 2014; doi: 10.1176/appi.ps.650603
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Dr. McKenzie is with the Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Copyright © 2014 by the American Psychiatric Association


To the Editor: I congratulate Dr. Sirey and colleagues (1) on highlighting the impact of stigma on referral for mental health assessment in their report in the April issue. However, I would like to discuss the fact that they also report differences in the level of stigma and referral rates in two racial groups: African Americans and Caucasians. The racial comparison may say more about the state of medical research into diversity than shed light on useful insights into differences within populations.

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Sirey  JA;  Franklin  AJ;  McKenzie  SE  et al:  Race stigma and mental health referrals among clients of aging services who screened positive for depression.  Psychiatric Services 65:537–540, 2014
[CrossRef] | [PubMed]
McKenzie  KJ;  Crowcroft  NS:  Race, ethnicity, culture, and science.  British Medical Journal 309:286–287, 1994
[CrossRef] | [PubMed]
McKenzie  K;  Crowcroft  NS:  Describing race, ethnicity, and culture in medical research.  BMJ 312:1054, 1996
[CrossRef] | [PubMed]
Johnson  GF;  Enomoto  R (eds):  Race, Racialization and Anti-Racism in Canada and Beyond .  Toronto,  University of Toronto Press, 2007
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