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Opportunities to Retrofit, Reform, and Reimagine Systematic Reviews for Racial Equity.

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Systematic reviews can perpetuate racism. This study explores racism in systematic review searches and proposes solutions for greater racial equity in research and academic mentoring.

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Area of Science:

  • Health Equity
  • Systematic Reviews
  • Academic Mentoring

Background:

  • Systematic reviews synthesize research but can perpetuate bias and systemic racism due to limitations in scope and methodology.
  • Existing systematic review processes may inadvertently exclude or misrepresent the experiences of marginalized populations.
  • The experiences of Black birthing parents are often underrepresented in health research.

Purpose of the Study:

  • To explore the perpetuation of systemic racism within the systematic review search process.
  • To propose actionable strategies for increasing transparency and racial equity in systematic reviews.
  • To examine the role of academic mentoring in addressing these inequities.

Main Methods:

  • A student's firsthand experience conducting a systematic review on breastfeeding among Black birthing parents.
  • Analysis of the systematic review search process through the lens of systemic racism.
  • Application of McLemore's "Retrofit, Reform, and Reimagine" framework for health equity.

Main Results:

  • The systematic review search process demonstrated inherent biases that can perpetuate racial inequities.
  • Specific search strategies and terminology can exclude relevant studies on marginalized groups.
  • The limitations highlight the need for critical re-evaluation of standard systematic review methodologies.

Conclusions:

  • Systematic reviews require methodological reform to ensure racial equity and inclusivity.
  • Implementing frameworks like "Retrofit, Reform, and Reimagine" can guide the transformation of research practices.
  • Enhanced academic mentoring is crucial for supporting researchers in conducting equitable systematic reviews.