Interventions addressing systemic racism in the US: A scoping review

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-10-12 DOI:10.1016/j.socscimed.2024.117403

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Abstract

Previous studies have reported on the health impact of systemic racism among historically oppressed populations. In fact, there is an emerging body of literature, including systematic reviews, which describe the negative health consequences of systemic racism among racial/ethnic minoritized groups in the US. Less is known, however, about effective intervention strategies to address systemic racism and the resulting health inequities. This scoping review was conducted to synthesize the published literature on U.S.-based interventions designed to improve health equity by addressing systemic racism. The Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review (PRISMA-ScR) checklist was used to report this review. We searched six databases (MEDLINE, CINAHL, PsycINFO, Sociological Abstracts, Web of Science Core Collection, and Scopus) to examine the intervention studies. A total of 172 articles were included in review. These interventions were classified by typology which included healing-centered approaches, community-based interventions targeting health disparities, diversity, equity, inclusion (DEI) efforts, anti-racism training interventions, and policy interventions. The findings from this review have important implications for the development, testing, and scaling of interventions designed to addressed systemic racism.

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针对美国系统性种族主义的干预措施：范围综述。

以前的研究曾报道过系统性种族主义对历史上受压迫者健康的影响。事实上，包括系统性综述在内的新兴文献描述了系统性种族主义对美国少数种族/族裔群体健康的负面影响。然而，人们对解决系统性种族主义及其导致的健康不平等问题的有效干预策略却知之甚少。本范围界定综述旨在综合已发表的有关美国干预措施的文献，这些干预措施旨在通过解决系统性种族主义问题来改善健康公平状况。本综述采用了系统综述和荟萃分析首选报告项目扩展版（PRISMA-ScR）清单。我们检索了六个数据库（MEDLINE、CINAHL、PsycINFO、Sociological Abstracts、Web of Science Core Collection 和 Scopus）来审查干预研究。共有 172 篇文章被纳入审查范围。这些干预措施按类型分类，包括以治疗为中心的方法、针对健康差异的社区干预措施、多样性、公平、包容（DEI）工作、反种族主义培训干预措施和政策干预措施。本综述的研究结果对旨在解决系统性种族主义问题的干预措施的开发、测试和推广具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.