JDR Clinical & Translational Research,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 20, 2024
Introduction:
Black
children
in
the
United
States
have
lower
rates
of
dental
visits
and
higher
poor
oral
health.
However,
few
studies
examined
role
structural
racism
as
a
contributor
to
racial
gaps
children’s
This
study
assessed
associations
between
state-level
health
outcomes
related
Black–White
disparities.
Methods:
repeated
cross-sectional
observational
aged
1
17
y
2016
2021
National
Survey
Children’s
Health
(NSCH).
Three
were
examined:
utilization
(dentist
visit
past
12
mo),
any
problem
(difficulty
mo
with
bleeding
gums,
cavities,
or
toothaches),
(teeth
excellent
very
good
condition).
A
index
was
constructed
measure
composed
5
dimensions
(judicial,
educational,
economic,
political,
neighborhood
segregation)
linked
NSCH.
Estimated
population-weighted
logit
regression
models
used
assess
race
racism,
adjusting
for
demographics
socioeconomic
status.
Results:
The
dataset
consisted
98,423
(11%)
White
(88%)
children.
had
relatively
worse
than
did,
largest
difference
observed
having
teeth
condition
(73%
vs.
83%).
State-level
not
statistically
significantly
associated
child
receiving
care,
problem,
condition.
US
disparities
these
unchanged
after
adjustment
racism.
Conclusions:
Expanded
efforts
are
needed
address
outcomes.
Future
research
should
explore
whether
findings
change
when
examining
at
different
geographic
level
indices
explicitly
include
items
specific
care
access
child-specific
institutional
domains.
Knowledge
Transfer
Statement:
this
less
likely
were.
Structural
did
explain
disparities,
which
suggests
need
further
mechanisms
driving
how
them.
Policy
makers
consider
policies
that
expand
where
is
delivered,
who
delivers
increase
dentists’
Medicaid
participation,
strategies
identified
previously
reducing
Journal of Health and Social Behavior,
Год журнала:
2024,
Номер
65(1), С. 141 - 160
Опубликована: Фев. 3, 2024
Less
than
1%
of
studies
on
racialized
health
inequities
have
empirically
examined
their
root
cause:
structural
racism.
Moreover,
there
has
been
a
disconnect
between
the
conceptualization
and
measurement
This
study
advances
field
by
(1)
distilling
central
tenets
theories
racism
to
inform
approaches,
(2)
conceptualizing
U.S.
states
as
racializing
institutional
actors
shaping
health,
(3)
developing
novel
latent
measure
in
states,
(4)
using
multilevel
models
quantify
association
five
individual-level
outcomes
among
respondents
from
Health
Retirement
Study
(N
=
9,020)
Behavioral
Risk
Factor
Surveillance
System
308,029),
(5)
making
our
publicly
available
catalyze
research.
Results
show
that
is
consistently
associated
with
worse
for
Black
people
but
not
White
people.
We
conclude
highlighting
this
study’s
contributions
(theoretical,
methodological,
substantive)
important
avenues
future
research
topic.
The Journal of Perinatal & Neonatal Nursing,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 11, 2025
Objective
:
The
purpose
of
this
scoping
review
is
to
consolidate
existing
scholarly
literature
on
the
experiences
racism
in
maternal
health
by
African
American
women.
Background
Maternal
disparities
among
women
are
linked
systemic
and
resulting
alarming
rates
adverse
disparities.
Methods
Using
Joanna
Briggs
Institute
(JBI)
methodological
approach,
a
search
was
conducted
PubMed,
Scopus,
Google
Scholar
for
empirical
studies
published
between
2013
2023.
limited
experience
during
perinatal
period.
Results
Ten
describing
Black/African
women’s
with
systemic,
institutional,
interpersonal,
internalized
healthcare
settings
were
identified.
All
included
final
qualitative.
Poor
provider
communication
listening
highlighted
as
major
contributors
While
mental
support,
social
community-based
interventions
such
doula
midwife
services
have
demonstrated
improved
outcomes,
their
broader
impact
remains
understudied
unavailable
many
Conclusion
This
revealed
(1)
lack
longitudinal
research
focused
dismantling
at
institutional
leadership
level,
(2)
absence
long-term
evaluations
interventions,
(3)
focus
garnering
deeper
understanding
impacts.
By
aggregating
findings
from
diverse
studies,
aims
contribute
future
influence
research,
policy
changes,
clinical
practices
that
eliminate
Spatial Demography,
Год журнала:
2025,
Номер
13(1)
Опубликована: Фев. 10, 2025
Abstract
The
population
health
literature
recognizes
structural
racism
as
a
fundamental
determinant
of
racialized
disparities.
However,
the
role
in
continued
persistence
disparities
sexually
transmitted
infections
(STIs)
has
not
been
investigated
despite
Black
Americans’
disproportionate
experience
STIs
comparison
to
White
Americans.
Past
research
largely
individual
racial/ethnic
identity
an
individual-level
factor
predictive
STIs,
failing
engage
with
multitude
racially
structured
contexts
which
likely
shape
STI
rates.
This
study
combines
multiple
datasets,
including
data
from
Centers
for
Disease
Control
and
Prevention,
American
Community
Survey,
Current
Population
conduct
state-level
analysis
investigating
contributing
Black–White
between
2010
2020.
Random
effects
spatial
autoregressive
models
suggest
that
contributes
STIs.
literatures
on
by
better
understanding
how
institutions
contraction
infections.
results
have
important
implications
states
institutional
actors
relevant
patterns
geography
racism.
American Journal of Public Health,
Год журнала:
2025,
Номер
unknown, С. e1 - e11
Опубликована: Март 13, 2025
Recent
years
have
seen
an
explosion
of
public
health
research
on
associations
between
historical
redlining
maps
created
by
a
US
government
agency,
the
Home
Owners’
Loan
Corporation
(HOLC),
and
present-day
outcomes.
Yet
precisely
how
why
HOLC’s
surveys
help
us
understand
underpinnings
racial
inequities
remains
unclear.
We
apply
interdisciplinary
perspective
to
assess
contributions
limitations
this
literature,
particularly
with
regard
causal
mechanisms
theoretical
explanations.
While
often
frames
HOLC
as
measure
structural
racism
that
directly
shapes
outcomes,
we
look
instead
capitalism
racialized
housing
policies
are
implemented.
argue
represent
symptoms,
not
causes,
systematic
disinvestment
in
Black
communities,
was
produced
federal
isolation
but
shaped
public‒private
collaboration
infused
capitalist
logics,
interacted
many
other
forms
dispossession
shape
riskscapes.
conclude
offering
conceptual
methodological
recommendations
for
researchers,
including
suggestions
data
sources
than
maps.
(
Am
J
Public
Health.
Published
online
ahead
print
March
13,
2025:e1–e11.
https://doi.org/10.2105/AJPH.2024.308000
)
