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Policies and Indicators to Operationalize Structural Racism for Quantitative Health Research
Talha Ali1, Kristi L Allgood2,3,4, Belinda Needham2,3
1Department of Community Health, Tufts University, Medford, MA.
American Journal of Epidemiology
|August 7, 2024
Summary
This study expands the measurement of structural racism in health research by linking discriminatory policies to health inequities. It offers tools to quantify structural racism
Area of Science:
- Public Health
- Health Equity Research
- Sociology of Health
Background:
- Empirical research on structural racism's health impact is growing, but measurement relies on limited area-based indicators.
- Existing measures do not fully capture the breadth of structural racism's influence on racial and ethnic health disparities.
- There is a need to expand methodologies for quantifying structural racism in public health.
Purpose of the Study:
- To propose and demonstrate methods for expanding the measurement of structural racism in public health research.
- To connect discriminatory policies to indicators of structural racism and subsequent health inequities.
- To provide practical tools for researchers to develop a robust empirical evidence base on structural racism and health.
Main Methods:
- Situating structural racism indicators within the historical context of discriminatory policies.
- Broadening the range of area-level indicators for structural racism beyond current literature.
- Developing and presenting a list of discriminatory federal policies and common/novel structural racism indicators.
- Providing an applied example of connecting policies and indicators.
Main Results:
- The paper offers a framework for a more comprehensive measurement of structural racism.
- It provides an extensive list of discriminatory federal policies and diverse indicators.
- An applied example demonstrates the linkage between policies, indicators, and health inequities.
Conclusions:
- Expanding the measurement of structural racism through policy context and broader indicators is crucial.
- The proposed tools will enhance the empirical evidence base for understanding health inequities.
- This work advances quantitative research on the impact of structural racism on population health.
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