Structural racism and health inequities in the USA: evidence and interventions

@article{Bailey2017StructuralRA,
  title={Structural racism and health inequities in the USA: evidence and interventions},
  author={Zinzi Bailey and N. Krieger and Madina Ag{\'e}nor and Jasmine Graves and N. Linos and M. Bassett},
  journal={The Lancet},
  year={2017},
  volume={389},
  pages={1453-1463}
}
Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and… Expand
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References

SHOWING 1-10 OF 100 REFERENCES
STRUCTURAL RACISM AND HEALTH INEQUITIES
  • G. Gee, C. Ford
  • Medicine, Sociology
  • Du Bois Review: Social Science Research on Race
  • 2011
TLDR
Several ways of conceptualizing structural racism are reviewed, with a focus on social segregation, immigration policy, and intergenerational effects, to more seriously consider the multiple dimensions of structural racism as fundamental causes of health disparities. Expand
Discrimination and Health Inequities
  • N. Krieger
  • Medicine
  • International journal of health services : planning, administration, evaluation
  • 2014
TLDR
Even as the number of investigations has dramatically expanded, the scope remains narrow: studies remain focused primarily on interpersonal discrimination, and scant research investigates the health impacts of structural discrimination, a gap consonant with the limited epidemiologic research on political systems and population health. Expand
Elucidating the role of place in health care disparities: the example of racial/ethnic residential segregation.
TLDR
Increasing evidence indicates that racial/ethnic residential segregation is a key factor driving place-based health care inequalities, and closer attention to address research gaps has implications for advancing and strengthening the literature. Expand
The state of research on racial/ethnic discrimination in the receipt of health care.
TLDR
Better instrumentation, innovative methodology, and strategies are needed for identifying and tracking racial/ethnic discrimination in health care settings. Expand
Unequal treatment: confronting racial and ethnic disparities in health care.
  • A. Nelson
  • Medicine
  • Journal of the National Medical Association
  • 2002
TLDR
Broad sectors—including healthcare providers, their patients, payors, health plan purchasers, and society at large—should be made aware of the healthcare gap between racial and ethnic groups in the United States. Expand
Racial/ethnic residential segregation: framing the context of health risk and health disparities.
TLDR
Recommendations for advancing the next generation of racial/ethnic residential segregation and health research will require closer attention to sharpening the methodology of measuring segregation, testing mediating pathways and effect modification, incorporating stronger test of causality and linking segregation measures with biological data. Expand
Structural racism and myocardial infarction in the United States.
TLDR
Results indicated that Blacks living in states with high levels of structural racism were generally more likely to report past-year myocardial infarction than Blacksliving in low-structural racism states, and raised the provocative possibility that structural racism may not only harm the targets of stigma but also benefit those who wield the power to enact stigma and discrimination. Expand
Mass incarceration, public health, and widening inequality in the USA
TLDR
How mass incarceration shapes inequality in health is examined, which raises concerns that excessive incarceration could harm entire communities and thus might partly underlie health disparities both in the USA and between theUSA and other developed countries. Expand
Disenfranchisement: Historical Underpinnings and Contemporary Manifestations
ABSTRACTFor racial and ethnic minorities, voting is equated with citizenship and decision-making power. However, despite proclamations of freedom, justice, and equality, state legislatures across theExpand
The Race Discrimination System
To understand the persistence of racial disparities across multiple domains (e.g., residential location, schooling, employment, health, housing, credit, and justice) and to develop effectiveExpand
...
1
2
3
4
5
...