Interpersonal (individual) |
Face-to-face or covert acts of discrimination toward a person |
Physician’s implicit bias that leads to poorer treatment of a patient |
Institutional (organizational) |
Policies and practices within and across institutions that disadvantage certain groups |
Denial of mortgage applications to black and Latinx populations compared with white populations with similar credit histories |
Structural (systemic) |
A system in which public policies, institutional practices, cultural representations, and other norms work in various, often reinforcing, ways to perpetuate group inequities |
Mass incarceration and its disproportionate effects on people of color |
Legal (de jure) |
Discrimination that is mandated by law |
Jim Crow laws; racial housing covenants |
Illegal (de facto) |
Discrimination that is without legal basis but sanctioned by custom or practice |
Underrepresentation of women and minorities in leadership roles in medicine |
Overt |
Blatant forms of discrimination |
Racist or sexist epithets |
Covert |
Subtle forms of discrimination |
Microaggressions |