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Conceptualizing and Measuring Systemic Racism.
Tyson H Brown1, Hedwig E Lee1, Margaret T Hicken2
1Department of Sociology, Duke University, Durham, North Carolina, USA;
Annual Review of Public Health
|January 14, 2025
Summary
This guide offers best practices for measuring systemic racism in health research. Rigorous, theory-driven methods are essential for accurately understanding how systemic racism impacts public health.
Area of Science:
- Public Health
- Sociology
- Health Equity
Background:
- Systemic racism is a complex, dynamic system driving racial inequities in health.
- Current measurement tools often misalign with the fundamental features of systemic racism, compromising research validity.
- Accurate measurement is crucial for understanding and addressing health disparities.
Purpose of the Study:
- To propose best practices for theory-driven measurement of systemic racism in health research.
- To highlight the importance of operationalizing the logics, properties, and mechanisms underlying racial inequities.
- To integrate temporal processes using the life course perspective for a comprehensive understanding.
Main Methods:
- Drawing on interdisciplinary theories and evidence to dissect key features of systemic racism.
- Analyzing the implications of these features for measurement approaches.
- Recommending the incorporation of temporal dynamics and life course principles.
Main Results:
- Identified critical features of systemic racism that must be addressed in measurement.
- Emphasized the need for measurement tools congruent with the systemic nature of racism.
- Advocated for integrating life course perspective to capture temporal influences on health.
Conclusions:
- Robust, evidence-based measurement is necessary to accurately study systemic racism's impact on public health.
- Theory-driven approaches and consideration of temporal processes are vital for advancing health equity research.
- Improved measurement will lead to a better understanding of how systemic racism shapes health outcomes.
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