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Using Community-Based System Dynamics to Address Structural Racism in Community Health Improvement.

Heidi L Gullett1, Gregory L Brown, Delores Collins

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Structural racism drives health inequities. Community-based system dynamics and stakeholder collaboration identified key leverage points for transforming systems and achieving health equity.

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Area of Science:

  • Public Health
  • Systems Science
  • Health Equity Research

Background:

  • Structural racism is a primary driver of health disparities affecting people of color.
  • A lack of a unified system vision hinders efforts to dismantle structural racism and achieve equitable systems transformation.

Purpose of the Study:

  • To apply community-based system dynamics within a public health-led planning process.
  • To engage diverse stakeholders in understanding and mapping the complex system of structural racism.
  • To identify actionable leverage points for systemic change and health equity.

Main Methods:

  • A cross-sector consortium utilized community-based system dynamics.
  • Group model building sessions with diverse stakeholders were conducted.
  • Causal loop diagrams were created to map the system of structural racism.

Main Results:

  • Causal loop diagrams revealed complex dynamics across criminal justice, education, economic opportunity, health, and quality of life.
  • Key leverage points for intervention were identified within these domains.
  • Perspective transformation emerged as a promising strategy for system transformation.

Conclusions:

  • Community-based system dynamics effectively engages stakeholders in systems thinking to map structural racism.
  • This approach facilitates the identification of high-yield, community-driven solutions for eliminating structural racism.
  • System maps serve as a foundation for developing simulation models to guide actions toward health equity.