{"title":"结构性种族主义的标准衡量标准,我们有吗?我们能有一个吗?常用衡量标准和使用领域的叙述性回顾","authors":"Biplav Babu Tiwari, Carlyncia McDowell, Omar-Shariff Sandy Roberts, Steven Kogan, Zhuo “Adam” Chen, Janani Rajbhandari-Thapa","doi":"10.1007/s40615-024-02179-7","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>A lack of a “gold standard” operationalized index to measure structural racism (SR) in the current literature limits the comparison of the evidence available. This study aims to synthesize the measures of SR from the current literature to identify the measures used to date, study the indicators included, and investigate its expanding domain.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A literature search of original quantitative studies in the Google Scholar and PubMed databases for articles dated January 1, 2000–July 31, 2023, was conducted with search terms: [“Institutionalized Racism” OR “Systemic Racism”, OR “Structural Racism”] AND “Health” AND “United States.” The studies were summarized and extracted based on the type of SR index used, the domains of SR incorporated, and the health outcomes studied.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 74 articles were included in the final review. The historical redlining score, G-statistics, index of concentration, and structural racism index were common quantifiable measures of SR. These indices capture 56 indicators across 11 significant domains to measure SR. Similarly, SR indices are being used mostly to study the impact of SR on cardiovascular diseases and other chronic health conditions, women’s and maternal health-related issues, and COVID-19 outcomes.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Multiple indices have been developed to capture SR, and since the COVID-19 pandemic, we have observed an increased interest in understanding health disparities through the lens of SR. With the rise in evidence on experiences of minority races related to racism, there is a high need for a standard approach to measuring SR.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Standard Measure of Structural Racism, Do We Have One? Can We Have One? A Narrative Review of Commonly Used Measures and Domains of Use\",\"authors\":\"Biplav Babu Tiwari, Carlyncia McDowell, Omar-Shariff Sandy Roberts, Steven Kogan, Zhuo “Adam” Chen, Janani Rajbhandari-Thapa\",\"doi\":\"10.1007/s40615-024-02179-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Background</h3><p>A lack of a “gold standard” operationalized index to measure structural racism (SR) in the current literature limits the comparison of the evidence available. This study aims to synthesize the measures of SR from the current literature to identify the measures used to date, study the indicators included, and investigate its expanding domain.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>A literature search of original quantitative studies in the Google Scholar and PubMed databases for articles dated January 1, 2000–July 31, 2023, was conducted with search terms: [“Institutionalized Racism” OR “Systemic Racism”, OR “Structural Racism”] AND “Health” AND “United States.” The studies were summarized and extracted based on the type of SR index used, the domains of SR incorporated, and the health outcomes studied.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>A total of 74 articles were included in the final review. The historical redlining score, G-statistics, index of concentration, and structural racism index were common quantifiable measures of SR. These indices capture 56 indicators across 11 significant domains to measure SR. Similarly, SR indices are being used mostly to study the impact of SR on cardiovascular diseases and other chronic health conditions, women’s and maternal health-related issues, and COVID-19 outcomes.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusion</h3><p>Multiple indices have been developed to capture SR, and since the COVID-19 pandemic, we have observed an increased interest in understanding health disparities through the lens of SR. With the rise in evidence on experiences of minority races related to racism, there is a high need for a standard approach to measuring SR.</p>\",\"PeriodicalId\":16921,\"journal\":{\"name\":\"Journal of Racial and Ethnic Health Disparities\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Racial and Ethnic Health Disparities\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40615-024-02179-7\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Racial and Ethnic Health Disparities","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40615-024-02179-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
A Standard Measure of Structural Racism, Do We Have One? Can We Have One? A Narrative Review of Commonly Used Measures and Domains of Use
Background
A lack of a “gold standard” operationalized index to measure structural racism (SR) in the current literature limits the comparison of the evidence available. This study aims to synthesize the measures of SR from the current literature to identify the measures used to date, study the indicators included, and investigate its expanding domain.
Methods
A literature search of original quantitative studies in the Google Scholar and PubMed databases for articles dated January 1, 2000–July 31, 2023, was conducted with search terms: [“Institutionalized Racism” OR “Systemic Racism”, OR “Structural Racism”] AND “Health” AND “United States.” The studies were summarized and extracted based on the type of SR index used, the domains of SR incorporated, and the health outcomes studied.
Results
A total of 74 articles were included in the final review. The historical redlining score, G-statistics, index of concentration, and structural racism index were common quantifiable measures of SR. These indices capture 56 indicators across 11 significant domains to measure SR. Similarly, SR indices are being used mostly to study the impact of SR on cardiovascular diseases and other chronic health conditions, women’s and maternal health-related issues, and COVID-19 outcomes.
Conclusion
Multiple indices have been developed to capture SR, and since the COVID-19 pandemic, we have observed an increased interest in understanding health disparities through the lens of SR. With the rise in evidence on experiences of minority races related to racism, there is a high need for a standard approach to measuring SR.
期刊介绍:
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.