Billie Castle1, Monica Wendel2, Jelani Kerr2, Derrick Brooms3, Aaron Rollins4. 1. School of Public Health and Information Sciences, Health Promotion and Behavioral Sciences Department, University of Louisville, 485 E. Gray Street, Louisville, KY, 40202, USA. billie.castle@louisville.edu. 2. School of Public Health and Information Sciences, Health Promotion and Behavioral Sciences Department, University of Louisville, 485 E. Gray Street, Louisville, KY, 40202, USA. 3. Department of Sociology, College of Arts and Sciences, University of Cincinnati, 155 B McMicken Hall, Cincinnati, OH, 45221, USA. 4. Department of Urban and Public Affairs, College of Arts and Sciences, University of Louisville, 426 W. Bloom Street, Louisville, KY, 40208, USA.
Abstract
OBJECTIVES: Recently, public health has acknowledged racism as a social determinant of health. Much evidence exists on the impact of individual-level racism and discrimination, with little to no examination of racism from the standpoint of systems and structures. The purpose of this systematic literature review is to analyze the extent to which public health currently addresses systemic racism in the published literature. METHODS: Utilizing the PRISMA guidelines, this review examines three widely used databases to examine published literature covering the topic as well as implications for future research and practice. RESULTS: A total of 85 articles were included in the review analysis after meeting study criteria. CONCLUSIONS: Across numerous articles, the terms racism and systemic racism are largely absent. A critical need exists for an examination of the historical impact of systemic racism on the social determinants of health and health of marginalized populations.
OBJECTIVES: Recently, public health has acknowledged racism as a social determinant of health. Much evidence exists on the impact of individual-level racism and discrimination, with little to no examination of racism from the standpoint of systems and structures. The purpose of this systematic literature review is to analyze the extent to which public health currently addresses systemic racism in the published literature. METHODS: Utilizing the PRISMA guidelines, this review examines three widely used databases to examine published literature covering the topic as well as implications for future research and practice. RESULTS: A total of 85 articles were included in the review analysis after meeting study criteria. CONCLUSIONS: Across numerous articles, the terms racism and systemic racism are largely absent. A critical need exists for an examination of the historical impact of systemic racism on the social determinants of health and health of marginalized populations.
Keywords:
Health disparity gaps; Health equity; Systematic review; Systemic racism
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