Centering racial health equity in systematic reviews paper 3: a systematic review of definitions for “racial health equity” and related terms within health-related articles

IF 7.3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of Clinical Epidemiology Pub Date : 2024-10-28 DOI:10.1016/j.jclinepi.2024.111580

Elizabeth A. Terhune , Mahederemariam Bayleyegn Dagne , Christi Piper , Ana B. Pizarro , Miriam Barsoum , Anita Rizvi , Damian K. Francis , Meera Viswanathan , Nila A. Sathe , Vivian Welch , Tiffany Duque , Dru Riddle , Robert W. Turner II , Tamara A. Baker , Patricia C. Heyn

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引用次数: 0

Abstract

Objectives

To systematically evaluate definitions of “racial health equity” (RHE) and related terms within health-related academic literature.

Study Design and Setting

We systematically evaluated definitions of RHE and related terms within health-related academic articles. Articles published in English were included, and no date restrictions were imposed.

Results

We found 20 original articles containing relevant definitions out of 1816 retrieved articles, thirteen of which were published from 2020 to 2023. Themes used in the definitions varied; racism (n = 12) and quality of healthcare (n = 10) were the most common. Additional themes, including social hierarchy or marginalization, discrimination, justice, unmet social needs, and historical events were described within some definitions. Eleven of the included manuscripts defined race as a social construct.

Conclusion

This study depicts RHE as an emerging concept with limited consensus on racism, quality of health, and social determinants of health as important underlying frameworks. To center equity efforts and actions under a workable and shared vision, we recommend continued discussions regarding underlying meanings of RHE concepts and propose establishing a definition that promotes unity across health fields and prevents ambiguity.

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以系统综述中的种族健康公平为中心论文 3：对健康相关文章中 "种族健康公平 "及相关术语定义的系统综述。

目的：系统评估与健康相关的学术文献中 "种族健康公平 "及相关术语的定义：系统评估与健康相关的学术文献中 "种族健康公平 "及相关术语的定义：我们系统评估了与健康相关的学术文章中对种族健康公平及相关术语的定义。研究结果：我们发现了 20 篇包含相关定义的原创文章：在检索到的 1816 篇文章中，我们找到了 20 篇包含相关定义的原创文章，其中 13 篇发表于 2020-2023 年。定义中使用的主题各不相同，其中种族主义（12 篇）和医疗质量（10 篇）最为常见。一些定义还使用了其他主题，包括社会等级或边缘化、歧视、正义、未满足的社会需求以及历史事件。在收录的手稿中，有 11 篇将种族定义为一种社会建构：本研究将种族健康公平描述为一个新兴概念，对种族主义、健康质量和健康的社会决定因素作为重要的基础框架的共识有限。为了将公平工作和行动集中在一个可行和共同的愿景下，我们建议继续讨论种族健康公平概念的基本含义，并建议建立一个定义，以促进各健康领域的统一，并防止歧义。

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

Journal of Clinical Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

12.00

自引率

6.90%

发文量

320

审稿时长

44 days

期刊介绍： The Journal of Clinical Epidemiology strives to enhance the quality of clinical and patient-oriented healthcare research by advancing and applying innovative methods in conducting, presenting, synthesizing, disseminating, and translating research results into optimal clinical practice. Special emphasis is placed on training new generations of scientists and clinical practice leaders.