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INTRODUCTION: Structural racism plays a major role in reproductive health inequities. Colorism, discrimination based on skin color, may profoundly impact reproductive health access and service delivery. However, quantitative research in this area is limited. METHODS: We administered an online survey of women (n = 1,299) aged 18-44 from Harris County, Texas to assess the relationship between skin color discrimination and reproductive health service avoidance. The survey included questions on demographics, self-reported skin tone, and dichotomous measures of previous discrimination experiences and avoidance of care because of perceived discrimination. Binary logistic regression was used to examine whether race/ethnicity, skin tone, and previous discrimination experiences were related to avoidance of contraceptive care because of perceived discrimination. RESULTS: Approximately one-third (31.5%) of the sample classified themselves as non-Hispanic Whites (31.5%), 22.4% as Black, 27.4% as Hispanic and born within the US, and 7.6% as Hispanic born outside of the US. Approximately one-third of women classified themselves in the lightest skin tones, whereas almost one in five women classified themselves in the darkest skin tone palates. Darker skin tones had increasingly greater odds of reporting that they avoided seeking birth control out of a concern for discrimination compared to the lightest skin tone. After adjusting for race/ethnicity and sociodemographic variables (model 3), darker skin tones remained significantly associated with avoiding birth control. DISCUSSION: This study demonstrates the role that skin color discrimination plays in negative reproductive health experiences. While this is not surprising given that those with racist ideologies developed the concept of these racial and ethnic categories, the apparent association with darker skin colors and avoidance of seeking birth control provides evidence that structural and individual racism continues to have far-reaching and insidious consequences. CONCLUSION: Contraception is recognized for reducing maternal mortality, improving child health, increasing female empowerment, and decreasing poverty. However, not all women equally enjoy the benefits of access to contraception. Addressing colorism within reproductive healthcare has become critically important as the nation becomes increasingly diverse. Focusing on skin tone-based discrimination and its roots in anti-blackness expands our understanding beyond a Black-White binary traditionally applied when addressing racism in healthcare delivery.

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Latinx young adults in the U.S. experience significant disparities related to body image and sexual health. These challenges partly stem from the intersections of racism, ethnocentrism, and colorism perpetuated through Eurocentric beauty standards and norms surrounding sexuality. Despite the salience of skin tone within the Latinx community, the impact of skin tone ideologies on body shame and sexual risk remains unexplored. Addressing this gap, the present study examined the influence of skin tone ideologies (i.e., colorist attraction and skin tone self-concept) on sexual risk and body shame among a sample of 539 Latinx young adults. The study also explored the potential moderating effect of self-esteem on colorist attraction and skin tone self-concept on body shame and sexual risk. Results revealed that both colorist attraction and skin-tone self-concept were positively associated with body shame. Colorist attraction was positively associated with sexual risk, whereas skin tone self-concept was not associated. Furthermore, self-esteem moderated the positive significant association between skin tone self-concept and body shame, such that the association was only significant among Latinx young adults who reported mean and high levels of self-esteem; self-esteem did not moderate any of the other study's associations. These findings inform the development of tailored mental and sexual health interventions to reduce health disparities among Latinx young adults, considering the influence of skin tone socialization.

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U.S. immigration discourse has spurred interest in characterizing who illegalized immigrants are or perceived to be. What are the associated visual representations of migrant illegality? Across two studies with undergraduate and online samples (N = 686), we used face-based reverse correlation and similarity sorting to capture and compare mental representations of illegalized immigrants, native-born U.S. citizens, and documented immigrants. Documentation statuses evoked racialized imagery. Immigrant representations were dark-skinned and perceived as non-white, while citizen representations were light-skinned, evaluated positively, and perceived as white. Legality further differentiated immigrant representations: documentation conjured trustworthy representations, illegality conjured threatening representations. Participants spontaneously sorted unlabeled faces by documentation status in a spatial arrangement task. Faces' spatial similarity correlated with their similarity in pixel luminance and "American" ratings, confirming racialized distinctions. Representations of illegalized immigrants were uniquely racialized as dark-skinned un-American threats, reflecting how U.S. imperialism and colorism set conditions of possibility for existing representations of migrant illegalization.

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South Asians (SAs) are among the fastest growing populations in the USA. Colorism - the system of inequality that views lighter skin as more advantageous in society - is prevalent in SA culture. This study evaluates motivations of sun protection use, attitudes of colorism, and skin lightening (SL) practices among SA Americans. Two-hundred-four participants recruited from online forums and ResearchMatch completed a questionnaire. Over half (111/204) reported use of sunscreen, of which 39.6% (44/111) reported daily or frequent use. Nearly half of respondents (98/204) believed that they are not at risk for skin cancer, with 37.7% (77/204) reporting minimal knowledge of skin cancers and only 4.9% (10/204) receiving a total body skin exam. One-third (65/204) reported being more concerned about prevention of tanning than skin cancer. In total, 38.2% (78/204) of respondents reported use of SL products, of which 33.3% (26/78) reported hydroquinone-based products and 26.9% (21/78) were unaware of the ingredients in their SL product. Only 16.7% (13/78) consulted a medical professional before using SL products. While many agreed that SA culture places high importance on light skin with regards to beauty standards (82.3%, 168/204), less noted that lighter skin is more beautiful (37.0%, 74/204). SL users more strongly agreed with colorism attitudes than non-users. Limitations include a small sample size with younger participants. Dermatologists must be mindful of the cultural motivations for skin tone preferences, sun protection habits, and SL behaviors and provide culturally relevant education on sunscreen, skin cancer, and risks of SL for the SA community.

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A growing literature documents skin color stratification in punishment, whereby darker-skinned individuals fare worse than their lighter-skinned counterparts. Virtually all of this research has focused on colorism operating through direct channels. Utilizing a novel dataset linking the mugshots and court records of 6931 felony defendants from Miami-Dade County (Florida) from 2012 to 2015, we show that colorism in punishment, particularly for Hispanics, operates through indirect mechanisms - in addition to direct channels. We argue that colorism in punishment is sustained through a cumulative (dis)advantage process, highlighting how skin color stratification is institutionalized in the criminal justice system.

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BACKGROUND: Despite their potential for adverse health effects, skin-lightening products remain popular among South Asian Americans. OBJECTIVE: This study investigates attitudes toward skin tone and the prevalence and adverse effects of skin-lightening product use among South Asian Americans. METHODS: We conducted a cross-sectional study, recruiting and surveying 175 women or nonbinary individuals meeting the following inclusion criteria: (1) lived in the United States, (2) identified as South Asian, and (3) were raised by parents born in South Asian countries. RESULTS: Of the 175 participants, 55 (31%) respondents used a skin-lightening product before. Parental pressure to use skin-lightening products and decreased time spent in the United States were significantly associated with skin-lightening product use (odds ratio [OR] 8.51, 95% CI 3.33-21.78, P<.001, and OR 0.70, 95% CI 0.52-0.96, P=.03, respectively). Although only 6 of the 55 (11%) users reported being aware of the potential side effects of skin-lightening products, 33 (60%) reported adverse effects, with acne, skin sensitivity, and dry skin being the most common. Users and nonusers equally endorsed statements associating lighter skin with increased attractiveness (P=.31), marriageability (P=.94), social status (P=.98), self-esteem (P=.73), and respect received from others (P=.74). CONCLUSIONS: The use of skin-lightening products among South Asian Americans is common and linked to social and psychological factors. Parental pressure and cultural beauty standards may play a significant role in perpetuating this practice. This study highlights the need for educational campaigns about the potential health risks associated with skin-lightening and increased efforts to challenge harmful beauty standards.

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Skin lightening (SL) is a practice involving the use of chemicals to lighten the skin that is more common among skin of color (SOC) individuals, particularly women, and can lead to adverse health consequences. Objective: In this study, we examine SL habits, including both general lightening and lightening for the treatment of a skin condition, among SOC individuals in the United States and the role of colorism in motivating these behaviors. Methods: A cross-sectional survey was administered to SOC individuals through ResearchMatch, an online national health registry. Demographics, rates of SL, SL habits, and perceived colorism among SL users and nonusers were collected and analyzed with χ2, Fisher's exact, Analysis of variance (ANOVA), Spearman correlation, and t tests. Results: A total of 455 participants completed the survey. Ninety-seven participants (21.3%) reported using SL agents: 73.2% (71/97) used SL agents for the treatment of a skin condition and 26.8% (26/97) used the products for general SL. Only 22.6% (22/97) of SL users consulted a medical provider before using the products. Forty-four participants (45.4%) were unaware of their SL product ingredients, and 35.1% (34/97) reported using hydroquinone-based products. Composite colorism scores were significantly higher in SL users than nonusers (20.03 vs 18.20; P < .001). Limitations: This study used self-reported racial/ethnic groups to characterize those with SOC rather than assessing actual skin tones of participants, which could have led to variability. Conclusion: SL among SOC individuals is prevalent in the U.S. and poses a health risk, as many SL users are unaware of product ingredients, do not consult a medical provider before use, and have access to potentially unsafe formulations. Dermatologists should address skin tone and pigmentary concerns with their SOC patients.

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Racial inequities in blood pressure levels have been extensively documented. Experiences of racial discrimination could explain some of this disparity, although findings from previous studies have been inconsistent. To address limitations of prior literature, including measurement error, we implemented instrumental variable analysis to assess the relationship between racial discrimination in institutional settings and blood pressure. Using data from 3,876 Black and White adults with an average age of 32 years from examination 4 (1992-1993) of the Coronary Artery Risk Development in Young Adults Study, our primary analysis examined the relationship between self-reported experiences of racial discrimination in institutional settings and blood pressure using reflectance meter measurement of skin color as an instrument. Findings suggested that an increase in experiences of racial discrimination was associated with higher systolic and diastolic blood pressure (ß = 2.23 mm Hg (95% confidence interval: 1.85, 2.61) and ß = 1.31 (95% confidence interval: 1.00, 1.62), respectively). Our instrumental variable estimates suggest that experiences of racial discrimination within institutional settings contribute to racial inequities in elevated blood pressure and cardiovascular disease outcomes in a relatively young cohort of adults and may yield clinically relevant differences in cardiovascular health over the life course.

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Microaggression research has made great strides over the past decade while steadily pushing itself into mainstream psychological science. Yet the field remains firmly situated within the Western, educated, industrialized, rich, and democratic (WEIRD) cultural context. Correspondingly, recurring criticisms against the validity of microaggressions are often rooted in individualist, decontextualized understandings of behavior, and critics' rebuttals are often grounded in a philosophical and reflective understanding of the cultural context. In this article, I put forward that (a) the enactments and appraisals of microaggressions are the behavioral results of the cognitive salience of cultural schemas; (b) cultural schemas are informed by cultural ideologies, underlining their methodological and empirical relevance for future research; and (c) cultures are dynamic by highlighting the effects of geopolitical events on the content of cultural schemas that may moderate the perception and enactment of microaggressions. For these reasons, I argue that a cultural psychology of microaggressions may help to depathologize the individual by situating behavior in its cultural context while at the same time necessitating the inclusion of communities residing in non-WEIRD societies.

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Skin color is an important predictor of health outcomes among Black Americans. Black Americans with darker complexions experience worse physical and psychological functioning than those with lighter complexions. However, most research on the health effects of colorism focuses solely on African Americans, omitting the experiences of other Black subpopulations. Using data from the National Survey of American Life (NSAL), we investigate the relationship between skin color and mental health among African Americans (N = 3393) and Caribbean Blacks (N = 1378). Findings from multivariate logistic regressions reveal that Black Americans with the lightest complexions-regardless of ethnicity-report worse psychological functioning. However, the shape of the association between skin tone and mental health varies significantly based on ethnicity and the specific psychiatric outcome under study. For Caribbean Blacks, the association between skin color and any mental disorders and mood disorders is linear, while the relationship for anxiety disorders is curvilinear. For African Americans, the relationship between skin color and mental health shows an elevated risk among only those with the lightest skin tones. These results illustrate the heterogeneity within the Black community and highlight the importance of recognizing ethnicity in health disparities research.

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For decades, affective scientists have examined how adults and children reason about others' emotions. Yet, our knowledge is limited regarding how emotion reasoning is impacted by race-that is, how individuals reason about emotions displayed by people of other racial groups. In this review, we examine the developmental origins of racial biases in emotion reasoning, focusing on how White Americans reason about emotions displayed by Black faces/people. We highlight how racial biases in emotion reasoning, which emerge as early as infancy, likely contribute to miscommunications, inaccurate social perceptions, and negative interracial interactions across the lifespan. We conclude by discussing promising interventions to reduce these biases as well as future research directions, highlighting how affective scientists can decenter Whiteness in their research designs. Together, this review highlights how emotion reasoning is a potentially affective component of racial bias among White Americans.

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This study addresses two questions. First, why do Black Americans exhibit worse health outcomes than White Americans even at higher levels of socioeconomic status (SES)? Second, are diminished health returns to higher status concentrated among Black Americans with darker skin color? Novel hypotheses are tested with biosocial panel data from Add Health, a nationally representative cohort of Black and White adolescents who have transitioned to adulthood. We find that White and light-skin Black respondents report improved health after achieving higher SES, on average, while their darker-skin Black peers report declining health. These patterns persist regardless of controls for adolescent health status and unmeasured between-person heterogeneity. Moreover, increased inflammation tied to unfair treatment and perceptions of lower status helps to account for patterns of diminished health returns for dark-skin Black groups. Our study is the first to document skin tone heterogeneity in diminished health returns and one of few studies to identify life course stress processes underlying such disparities. We consider additional processes that could be examined in future studies, as well as the broader health and policy implications of our findings.

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Background: Experiences of discrimination are prevalent among minority populations, although often empirical evidence does not provide depth into the source and types of discrimination, such as racial/ethnic, gender-based, age, etc. The goal of this study was to assess the unique patterns, types, and sources of discrimination experiences that college students face and explore the role these experiences play in their mental health. Methods: An explanatory sequential mixed-methods study was utilized. Quantitative assessment of college students from a Hispanic and minority-serving institution was conducted to evaluate experiences of discrimination and its association to physical health and mental health (including psychological distress), as well as food insecurity, a marker for poverty. Next, qualitative data were thematically analyzed to further provide an in depth understanding on the sources of such experiences, types of discriminations, as well as the impact on mental health. Results: Results of the quantitative assessment highlight that discrimination was prevalent among the population with a higher everyday discrimination score significantly associated with serious psychological distress, low mental health status, low physical health status, and being food insecure. Further, most of the participants reported that they felt discriminated due to their appearance, with race/ethnicity and skin color as next most commonly cited reasons. Qualitative assessment further demonstrates distinct types of discrimination experiences from a variety of sources. Within a family, colorism and having an American accent while speaking a native language was a predominant source, while among peers, having a non-American accent was a primary source of discrimination experiences. Such experiences based on elitism, gender, and age (being younger) from the workplace were prevalent among the target population. Finally, feelings of isolation, not belonging, as well as negative impact on self-efficacy and self-worth were noted. Conclusion: Experiences of discrimination are prevalent among college students, including from within family and peers. To improve mental health outcomes of such a population, campus-based measures are needed to promote resiliency and social support, as well as community-based initiatives to promote workplace training to create inclusive environments for younger generations entering the workforce.

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Contrary to popular discourse on racial harmony in Latin America, research links educational inequality to physical appearance, particularly in countries with national ideologies emphasizing multiculturalism, such as Brazil and Colombia (Marteleto et al., Research in Social Stratification and Mobility, 2012, 30, 352; Telles, Pigmentocracies: Ethnicity, Race, and Color in Latin America, 2014, University of North Carolina Press, Chapel Hill, NC). This study used PVEST to explore how social processes influence adolescent self-identities and perceptions of educational access. Mixed methods research conducted among 737 high school seniors in Salvador, Brazil and Cartagena, Colombia, revealed that socioeconomic status significantly related to race and skin tone, and Black and darker skinned Brazilian participants reported the highest rates of perceived discrimination; however, perceptions of socioeconomic mobility varied by the type of school students attended (i.e., public vs. private) rather than by their race or skin tone.

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Across the globe, women and racial minorities are underrepresented in leadership. We examined the development of 5-10-year-old children's leadership cognition in India, the world's largest democracy. This cultural context offered the opportunity to study the development of attitudes about gender and to extend examinations of children's conceptions of race to include colorism (the privileging of lighter skin). In Experiment 1, children completed a novel Election Task in which they saw a fictional class with 20 students varying in gender (boys, girls) and race/skin tone (darker-skinned South Asian [Dark-SA], lighter-skinned South Asian [Light-SA], Black, White). Children predicted who would be elected as President, Treasurer, Welcomer, and Notetaker. Children most often chose Light-SA and White students as President. When choosing Presidents, younger children showed an own-gender bias, but by age 9, both boys and girls primarily chose boy Presidents. Importantly, children's choices differed for the other class positions. Next, we asked children to draw a "leader." No boys drew a girl, and girls' drawings were mixed (52% drew girls). In Experiment 2, we replicated the drawing task findings and compared children's drawings of a leader to their drawings of a helper and a scientist. Children most often drew boys and men as leaders and scientists, but not as helpers, suggesting specificity of children's pro-male bias to male-stereotyped positions. Children's conceptions of leadership reflected a male bias and an association between lighter skin and status.

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In this paper, we examine whether the prevalence of colorism in India can be linked to discrimination in hiring for people with darker skin shades. Colorism or preference for lighter skin tones has a long history primarily linked to colonialism in parts of Asia and Africa. More recently, this preference for lighter skin has become amplified by growing and global whitening product industries dominated by multinational corporations. In India, the industry has tried to link lighter skin to economic success, specifically labor market success. However, the existence of such a link is yet to be explored given the lack of skin tone-specific data in the global context. We implemented an experimental survey design in India to overcome this lack of data. Participants in our study were asked to evaluate job candidates on the basis of unchanging resumes paired with photographs manipulated to vary skin tones. We did not find a statistically significant bias in favor of resumes paired with lighter-skinned photographs. Overall, participants tended to evaluate both lighter-skinned and darker-skinned candidates similarly. Our findings suggest that colorism in India cannot be easily linked to direct instances of hiring discrimination. Differential outcomes due to preference for skin color though might operate in other economic contexts beyond entry into employment. It may also exist in social contexts like marriage and family or health outcomes and in situations where beauty ideals are more relevant. Our findings provide an important counter-narrative to the skin whitening industry's worrisome efforts to expand their consumer base by linking lighter skin to economic success. Our methodology also provides new directions for future research on colorism, an important new global frontier in stratification economics.

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OBJECTIVES: This paper introduces new measures of skin tone (self-reported) and perceived discrimination that are included in the third round of the National Social Life, Health, and Aging Project (NSHAP). We explain the rationale for these new measures, emphasizing, in particular, how they help researchers to conceptualize and measure the significance of race/ethnicity for health and aging beyond binary ethnoracial categories. METHOD: We describe new measures of skin tone and perceived discrimination for use in NSHAP 2015. We provide descriptive statistics on the distribution of skin tone (self-reported) by race/ethnicity. As a proof of concept, we use logistic and ordinary least squares regression analyses to examine the relationship between skin tone, perceived discrimination, and perceived stress among ethnoracial minorities. RESULTS: We find that there is significant variation in skin tone among non-White respondents in NSHAP 2015 (e.g., non-Hispanic Black and Latinx). We also find that skin tone (self-reported) is a significant predictor of the frequency of perceived discrimination and perceived stress among African American, but not Latinx respondents in NSHAP. DISCUSSION: The inclusion of new skin tone and discrimination measures in NSHAP 2015 provides a unique and novel opportunity for researchers to more deeply understand how race/ethnicity is connected to health and aging among ethnoracial minorities. Furthermore, it will enable analyses of how stress and perceived discrimination also affect patterns of health and aging among Whites against the backdrop of steadily increasing socioeconomic inequalities and shifting ethnoracial demographics in the United States.

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COVID-19 aside, the year 2020 was characterized by further challenges to the black identity. The gruesome murder of George Floyd and other low moments of racial discrimination triggered a wave of protests across the USA and beyond. The year saw the convictions of the proponents of the Black Lives Matter being tested to the limits. Whereas popular music has constituted a vehicle for conveying the concerns of the movement since its conception, I argue that the events of the year 2020 and the attendant looting and destruction in the guise of protests, have propelled an impetus in African American creatives to speak matter into black lives. Drawing from the texts (2019) and video (2020) of Beyoncé Knowles's "Brown Skin Girl," the article discusses artists' attempt to deploy chromatism in debunking negative connotations associated with "black." Further, the audio-visual constructs in Pharrell Williams's "Entrepreneur" (2020) is assessed as a deliberate creation to sustain a positive narrative at a critical moment of African American history.