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Related Experiment Videos

Public Health's Approach to Systemic Racism: a Systematic Literature Review.

Billie Castle1, Monica Wendel2, Jelani Kerr2

  • 1School of Public Health and Information Sciences, Health Promotion and Behavioral Sciences Department, University of Louisville, 485 E. Gray Street, Louisville, KY, 40202, USA. billie.castle@louisville.edu.

Journal of Racial and Ethnic Health Disparities
|May 6, 2018
PubMed
Summary

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Public health research rarely addresses systemic racism, despite its acknowledgment as a social determinant of health. Further examination is crucial for understanding its impact on marginalized populations.

Area of Science:

  • Public Health
  • Health Equity
  • Social Determinants of Health

Background:

  • Public health recognizes racism as a social determinant of health.
  • Existing research predominantly focuses on individual-level racism and discrimination.
  • There is a gap in understanding the impact of systemic and structural racism.

Purpose of the Study:

  • To systematically review the published literature in public health to determine the extent to which systemic racism is addressed.
  • To identify implications for future research and practice regarding systemic racism in public health.

Main Methods:

  • Systematic literature review conducted following PRISMA guidelines.
  • Searched three major academic databases for relevant publications.
  • Included 85 articles that met the study's inclusion criteria.
Keywords:
Health disparity gapsHealth equitySystematic reviewSystemic racism

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Main Results:

  • The terms "racism" and "systemic racism" were infrequently used in the reviewed literature.
  • Analysis revealed a limited focus on systemic racism within public health publications.
  • Identified a significant gap in the examination of historical and structural racism's health impacts.

Conclusions:

  • A critical need exists to incorporate systemic racism into public health research and discourse.
  • Further investigation into the historical impact of systemic racism on health outcomes for marginalized groups is essential.
  • Public health practice must evolve to address systemic racism to promote health equity.