Examining Declarations of Racism as a Public Health Crisis: A Content Analysis of US Public Health and Governmental Entities.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2025-09-10 DOI:10.1097/PHH.0000000000002168

Skky Martin, Roshani Dahal, Hannah Geressu, Denisha Demeritte, Chelsey Kirkland, Janette S Dill

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引用次数: 0

Abstract

Objectives: The aim of this article is to investigate health equity commitments indicated in racism as a public health crisis (RPHC) declarations. The killing of George Floyd in May 2020 sparked widespread protests and renewed conversations about health equity, social determinants of health, and ongoing harms caused by racism, resulting in hundreds of RPHC declarations made by public health and governmental entities.

Methods: We conducted a content analysis of 237 RPHC declarations (publicly available). We identified and categorized actions and strategies related to health equity across public health and governmental entities.

Results: The top 5 health equity actions in declarations included providing diversity, equity, and inclusion training to staff (43%), participating in community engagement (35%), hiring, retention, and inclusion of diverse staff (31%), partnering with other organizations (31%), and advocating for policies (30%). The most common health equity strategies were Adopting a Health Equity Approach, Community Engagement, and Workforce Initiatives, while Policing and Funding are uncommon. Health equity actions and strategies varied by public health and governmental entities.

Conclusions: This study deepens our understanding of the health equity commitments made by public health and governmental entities in effort to reduce health disparities and improve health equity.

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审视作为公共卫生危机的种族主义宣言：美国公共卫生和政府实体的内容分析。

目的：本文的目的是调查种族主义作为公共卫生危机（RPHC）宣言中所表明的卫生公平承诺。乔治·弗洛伊德（George Floyd）于2020年5月被杀引发了广泛的抗议活动，并重新引发了关于卫生公平、健康的社会决定因素以及种族主义造成的持续危害的讨论，导致公共卫生和政府实体发布了数百项RPHC声明。方法：对237份公开的RPHC申报进行内容分析。我们确定并分类了公共卫生和政府实体之间与卫生公平相关的行动和战略。结果：宣言中排名前5位的卫生公平行动包括为员工提供多样性、公平性和包容性培训（43%），参与社区参与（35%），雇用、保留和包容不同类型的员工（31%），与其他组织合作（31%），以及倡导政策（30%）。最常见的卫生公平战略是采用卫生公平方法、社区参与和劳动力倡议，而监管和资助则不常见。卫生公平行动和战略因公共卫生和政府实体而异。结论：本研究加深了我们对公共卫生和政府实体在减少卫生差距和提高卫生公平方面的卫生公平承诺的理解。

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 Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.