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Terminology and Definitions of Racial Health Equity in Prominent Health Websites: Systematic Review.

Mahederemariam Bayleyegn Dagne1, Elizabeth A Terhune1,2,3, Miriam Barsoum1

  • 1Center for Optimal Aging, Marymount University, Arlington, VA, United States.

Journal of Medical Internet Research
|August 1, 2025
PubMed
Summary

Prominent health websites often lack clear definitions for racial health equity. Information on racial health equity and related terms is difficult to find, hindering access to crucial health equity data.

Keywords:
United Statesdefinitionshealth carehealth equityhealth informationinclusivepromotionpublic healthraceracialracial health equitysentiment analysissystematic Reviewthematic analysisweb-based health informationwebsites

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Area of Science:

  • Public Health
  • Health Communication
  • Health Equity Research

Background:

  • Prominent health organizations' websites are vital for disseminating quality health information, including that on health equity.
  • Racial disparities are a critical public health issue, and the term "racial health equity" is increasingly used in academic literature.
  • However, the definition and accessibility of "racial health equity" information on health websites remain unevaluated.

Purpose of the Study:

  • To systematically evaluate the availability and findability of definitions for "racial health equity/equities" and related terms on prominent US health organization websites.

Main Methods:

  • A systematic review of 69 websites from government, professional, and healthcare organizations was conducted.
  • Search terms included "racial health equity/equities," "racial health inequity," and "racial health disparities."
  • A findability tool assessed the ease of locating definitions, with analysis of themes and sentiments.

Main Results:

  • Half of the analyzed websites (31/69) did not provide definitions for racial health equity terms.
  • Of the 38 websites that did offer definitions, most lacked citations and the information was rated as "very difficult" to find.
  • Definitions varied significantly across websites, indicating a lack of standardization.

Conclusions:

  • There is a significant absence of a systematic, standardized approach to presenting racial health equity information on major health websites.
  • The inconsistent and difficult-to-find nature of definitions for racial health equity hinders equitable access to this critical information.
  • Standardized definitions and improved findability are needed to ensure health equity information is accessible and actionable.