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Analyzing structural racism and its health impacts: it's about time
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
American Journal of Epidemiology
|October 5, 2024
Summary
Structural racism research is rapidly growing, but few studies incorporate lifecourse perspectives. Integrating time is crucial for understanding how racism impacts health over a lifetime.
Area of Science:
- Public Health
- Sociomedical Sciences
- Epidemiology
Background:
- Research on structural racism and health has significantly increased since 2020.
- Most reviews focus on measurement or impact, with limited attention to lifecourse concepts.
- Only 2.5% of articles on structural racism include "lifecourse" and its variants.
Purpose of the Study:
- To highlight the critical role of time and lifecourse perspectives in structural racism and health research.
- To examine how temporal factors influence the embodiment of structural racism and its health consequences.
- To address inconsistencies in studies using latent measures of structural racism by considering etiologic periods.
Main Methods:
- Literature review of PubMed articles indexed with "structural racism" and "lifecourse" terms.
- Application of ecosocial theory and Latin American social medicine-collective health frameworks.
- Analysis of "health-illness-disease processes" and "cancer control continuum" models.
Main Results:
- A significant gap exists in the integration of lifecourse approaches within structural racism and health literature.
- Temporal dimensions, including etiologic periods, are under-examined in relation to structural racism's health impacts.
- Inconsistent findings in studies using latent structural racism measures may stem from neglecting lifecourse and temporal factors.
Conclusions:
- There is an urgent need to incorporate lifecourse and temporal analyses into structural racism and health research.
- Understanding the embodiment of racism over time is essential for accurate etiologic modeling.
- Future research should prioritize temporal dynamics to advance our understanding of structural racism's long-term health effects.
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