It Works, But For Whom? Examining Racial Bias in Carding Experiences and Acceptance of a County Identification Card

Alana M.W LeBrón; Keta Cowan; William D Lopez; Nicole L Novak; Maria Ibarra-Frayre; Jorge Delva

doi:10.1089/heq.2018.0022

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It Works, But For Whom? Examining Racial Bias in Carding Experiences and Acceptance of a County Identification Card

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It Works, But For Whom? Examining Racial Bias in Carding Experiences and Acceptance of a County Identification Card

Alana M.W LeBrón, Keta Cowan, William D Lopez, Nicole L Novak, Maria Ibarra-Frayre and Jorge Delva

Health equity, Vol.2(1), pp.239-248

12/01/2018

DOI: 10.1089/heq.2018.0022

PMCID: PMC6167006

PMID: 30283873

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Abstract

Purpose: Policies that restrict access to U.S. government-issued photo identification (ID) cards adversely affect multiple marginalized communities. This context impedes access to health-promoting resources that increasingly require government-issued IDs and exacerbates health inequities. In 2015, Washtenaw County, Michigan, implemented the Washtenaw ID to improve access to resources contingent upon having an ID. We employed an audit study to examine whether Washtenaw ID users experienced racially biased treatment in carding experiences and acceptance of the Washtenaw ID. Methods: Seven 25- to 32-year-old mystery shoppers (two Latina, three black, and two white women) attempted to purchase a standardized basket of goods, including an age-restricted item in Washtenaw County stores ( n =130 shopping experiences). We examined whether experiences of being asked for ID and acceptance of the Washtenaw ID varied by race/ethnicity. Results: Each shopper visited 9–22 stores. Shoppers were asked for ID in 63.1% of shopping experiences. Of these, the Washtenaw ID was accepted 91.5% of the time. Among those who were asked for ID, a higher percentage of Latina (16.0%) shoppers had their Washtenaw IDs rejected than black (6.3%) and white (4.0%) shoppers, although differences were not statistically significant ( p =0.27). Latina shoppers had 2.9 times the odds of receiving a comment about their Washtenaw ID relative to white shoppers (OR=2.92, p =0.08), comments that were nonpositive. Conclusion: Local IDs may improve access to resources contingent upon having an ID. However, racialization processes, including anti-immigrant sentiments, may inhibit the mitigating goal of local IDs. Continued attention to the health equity impacts of equity-driven interventions is warranted.

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Title: Subtitle: It Works, But For Whom? Examining Racial Bias in Carding Experiences and Acceptance of a County Identification Card
Creators: Alana M.W LeBrón - 2Department of Chicano/Latino Studies, University of California, Irvine, Irvine, California
Keta Cowan - 3Synod Community Services, Ypsilanti, Michigan
William D Lopez - 4School of Public Health University of Michigan and National Center for Institutional Diversity, Ann Arbor, Michigan
Nicole L Novak - 5Prevention Research Center, University of Iowa, Iowa City, Iowa
Maria Ibarra-Frayre
Jorge Delva - 6School of Social Work, Boston University, Boston, Massachusetts
Resource Type: Journal article
Publication Details: Health equity, Vol.2(1), pp.239-248
DOI: 10.1089/heq.2018.0022
PMID: 30283873
PMCID: PMC6167006
NLM abbreviation: Health Equity
ISSN: 2473-1242
eISSN: 2473-1242
Publisher: Mary Ann Liebert, Inc., publishers
Language: English
Date published: 12/01/2018
Academic Unit: Public Policy Center (Archive); Community and Behavioral Health
Record Identifier: 9984215041902771

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