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Keywords: Structural Racism; Health Disparities Research; Race; Ethnicity EN Structural Racism Health Disparities Research Race Ethnicity 285 288 4 05/26/21 20210502 NES 210502 Introduction Racism matters, and matters profoundly, to understanding the persistent and pervasive disparities in health experienced by racialized populations in the United States and throughout the world.[1] [3] An ideology of inferiority and organized system of oppression, racism created "race" as a powerful form of social stratification and means of differentially allocating power, resources and opportunities - advantaging and privileging those considered superior and disadvantaging and excluding those considered inferior.[4] [6] Since colonization, racism has been deeply embedded in the structures, systems and institutions of society in the United States and in other colonized states, with vast and severe consequences for health and health disparities.[6] [8] Yet, overwhelmingly, empirical research on racism, health and health disparities has focused on interpersonal discrimination as a psychosocial stressor.[6],[9] Understanding the disproportionate burden of stressor exposure experienced by racialized groups as a result of interpersonal discrimination is important, as is attending to how such discrimination impacts health and health disparities throughout the lifecourse and across generations. Dennis et al[16] and Volpe et al[17]both provide insightful commentaries to assist in operationalizing the complexities of structural racism within health disparities research. Shelton et al[21] provide a helpful primer for integrating structural racism and discrimination within implementation science approaches. Two institutional racism interventions, one in a local health department and the latter in a school, are outlined by Duerme et al[22] and Allen et al,[23] respectively. [Extracted from the article] |
