Strategic Messaging to Promote Policies that Advance Racial Equity: What Do We Know, and What Do We Need to Learn?

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Milbank Quarterly Pub Date : 2023-06-01 Epub Date: 2023-04-25 DOI:10.1111/1468-0009.12651
Jeff Niederdeppe, Jiawei Liu, Mikaela Spruill, Neil A Lewis, Steven Moore, Erika Franklin Fowler, Sarah E Gollust
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引用次数: 0

Abstract

Policy Points Many studies have explored the impact of message strategies to build support for policies that advance racial equity, but few studies examine the effects of richer stories of lived experience and detailed accounts of the ways racism is embedded in policy design and implementation. Longer messages framed to emphasize social and structural causes of racial inequity hold significant potential to enhance support for policies to advance racial equity. There is an urgent need to develop, test, and disseminate communication interventions that center perspectives from historically marginalized people and promote policy advocacy, community mobilization, and collective action to advance racial equity.

Context: Long-standing racial inequities in health and well-being are shaped by racialized public policies that perpetuate disadvantage among Black, Brown, Indigenous, and people of color. Strategic messaging can accelerate public and policymaker support for public policies that advance population health. We lack a comprehensive understanding of lessons learned from work on policy messaging to advance racial equity and the gaps in knowledge it reveals.

Methods: A scoping review of peer-reviewed studies from communication, psychology, political science, sociology, public health, and health policy that have tested how various message strategies influence support and mobilization for racial equity policy domains across a wide variety of social systems. We used keyword database searches, author bibliographic searches, and reviews of reference lists from relevant sources to compile 55 peer-reviewed papers with 80 studies that used experiments to test the effects of one or more message strategies in shaping support for racial equity-related policies, as well as the cognitive/emotional factors that predict their support.

Findings: Most studies report on the short-term effects of very short message manipulations. Although many of these studies find evidence that reference to race or use of racial cues tend to undermine support for racial equity-related policies, the accumulated body of evidence has generally not explored the effects of richer, more nuanced stories of lived experience and/or detailed historical and contemporary accounts of the ways racism is embedded in public policy design and implementation. A few well-designed studies offer evidence that longer-form messages framed to emphasize social and structural causes of racial inequity can enhance support for policies to advance racial equity, though many questions require further research.

Conclusions: We conclude by laying out a research agenda to fill numerous wide gaps in the evidentiary base related to building support for racial equity policy across sectors.

促进种族平等政策的战略信息:我们知道什么,我们需要学习什么?
政策要点 许多研究探讨了信息策略对促进种族公平政策的支持所产生的影响,但很少有研究探讨更丰富的生活经验故事和详细描述种族主义在政策设计和实施中的嵌入方式所产生的影响。强调造成种族不平等的社会和结构性原因的长篇信息在加强对促进种族公平政策的支持方面具有巨大的潜力。我们迫切需要开发、测试和传播以历史上被边缘化人群的观点为中心的传播干预措施,并促进政策倡导、社区动员和集体行动,以推进种族公平:在健康和福祉方面长期存在的种族不平等是由种族化的公共政策造成的,这些政策使黑人、棕色人种、土著人和有色人种长期处于不利地位。战略性信息传递可以加快公众和决策者对促进人口健康的公共政策的支持。我们对从政策信息传递工作中汲取的促进种族公平的经验教训及其所揭示的知识差距缺乏全面的了解:我们对来自传播学、心理学、政治学、社会学、公共卫生和卫生政策领域的同行评审研究进行了范围界定,这些研究测试了各种信息策略如何在各种社会体系中影响对种族公平政策领域的支持和动员。我们使用了关键词数据库搜索、作者书目搜索和相关来源的参考文献列表审查等方法,汇编了 55 篇同行评审论文和 80 项研究,这些论文使用实验来测试一种或多种信息策略在形成对种族公平相关政策的支持方面的效果,以及预测其支持的认知/情感因素:大多数研究报告了非常简短的信息操作的短期效果。尽管其中许多研究发现,提及种族或使用种族线索往往会削弱对种族公平相关政策的支持,但积累的证据一般都没有探讨更丰富、更细微的生活经验故事和/或关于种族主义如何嵌入公共政策设计和实施的详细历史和当代描述的影响。一些精心设计的研究提供了证据,表明强调造成种族不平等的社会和结构性原因的长篇信息可以增强对促进种族平等政策的支持,尽管许多问题还需要进一步研究:最后,我们提出了一个研究议程,以填补与建立各部门对种族公平政策的支持有关的证据基础方面的众多空白。
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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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