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Structural racism theory, measurement, and methods: A scoping review
Simone Wien1, Andres L Miller1, Michael R Kramer1
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
This scoping review examines how structural racism is incorporated into epidemiologic research. It highlights the need for deeper engagement with existing theories and scholarship to avoid superficial adoption of the concept.
Area of Science:
- Social Epidemiology
- Public Health Research
- Health Equity Studies
Background:
- Growing interest in structural racism within epidemiology and public health.
- Concerns regarding atheoretical and ahistorical approaches in current research.
- Need for deeper engagement with established theories and scholars in the field.
Purpose of the Study:
- To identify current themes in the incorporation of structural racism into epidemiologic research and practice.
- To provide guidance on theory, measurement, and methods for researchers new to the topic.
- To build upon recent work and address gaps in understanding structural racism's health impacts.
Main Methods:
- Scoping review utilizing a defined methodological framework.
- Inclusion of peer-reviewed articles in English published between January 2000 and August 2022.
- Systematic search of Google Scholar, manual collection, and reference list reviews.
Main Results:
- Analysis of 138 articles meeting inclusion criteria, categorized into theory, construct measurement, and study practice/methods.
- Identification of key themes within each of these broad sections.
- Synthesis of findings to understand current trends and challenges in structural racism research.
Conclusions:
- A call to action to resist uncritical and superficial adoption of "structural racism."
- Emphasis on the importance of attending to existing scholarship and expert recommendations.
- Recommendations derived from the scoping review for researchers and trainees.
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