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. Author manuscript; available in PMC: 2022 Dec 1.
Published in final edited form as: J Pain. 2021 Jun 30;22(12):1578–1585. doi: 10.1016/j.jpain.2021.06.008
Health Disparities A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.48
Implicit Bias Attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious way, making them difficult to control.40
Discrimination The unfair or prejudicial treatment of people and groups based on characteristics such as race, gender, age or sexual orientation.2
Racism Any action, belief, or attitude, whether conscious or unconscious, that reproduces a racial hierarchy that subordinates an individual or group based on skin color or race. It can be enacted individually, institutionally, ideological, or representational.12
Institutional Racism Racially adverse “discriminatory policies and practices carried out [within and between individual] state or non-state institutions” on the basis of racialized group membership.6
Structural Racism The totality of ways in which societies foster [racial] discrimination, via mutually reinforcing [inequitable] systems… (e.g., in housing, education, employment, earnings, benefits, credit, media, health care, criminal justice, etc.) that in turn reinforce discriminatory beliefs, values, and distribution of resources”, reflected in history, culture, and interconnected institutions.6