Journal article
Systematic review of how racialized health inequities are addressed in Epidemiologic Reviews articles (1979-2021): a critical conceptual and empirical content analysis and recommendations for best practices
Epidemiologic reviews, v 45(1), pp 1-14
20 Dec 2023
PMID: 37386694
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Critical analysis of the determinants of current and changing racialized health inequities, including the central role of racism, is an urgent priority for epidemiology, for both original research studies and epidemiologic review articles. Motivating our systematic overview review of Epidemiologic Reviews articles is the critical role of epidemiologic reviews in shaping discourse, research priorities, and policy relevant to the social patterning of population health. Our approach was first to document the number of articles published in Epidemiologic Reviews (1979-2021; n = 685) that either: (1) focused the review on racism and health, racial discrimination and health, or racialized health inequities (n = 27; 4%); (2) mentioned racialized groups but did not focus on racism or racialized health inequities (n = 399; 59%); or (3) included no mention of racialized groups or racialized health inequities (n = 250; 37%). We then conducted a critical content analysis of the 27 review articles that focused on racialized health inequities and assessed key characteristics, including (1) concepts, terms, and metrics used regarding racism and racialized groups (notably only 26% addressed the use or nonuse of measures explicitly linked to racism; 15% provided explicit definitions of racialized groups); (2) theories of disease distribution guiding (explicitly or implicitly) the review's approach; (3) interpretation of findings; and (4) recommendations offered. Guided by our results, we offer recommendations for best practices for epidemiologic review articles for addressing how epidemiologic research does or does not address ubiquitous racialized health inequities.
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Details
- Title
- Systematic review of how racialized health inequities are addressed in Epidemiologic Reviews articles (1979-2021): a critical conceptual and empirical content analysis and recommendations for best practices
- Creators
- Dena Javadi - Harvard UniversityAudrey R. Murchland - Harvard UniversityTamara Rushovich - Harvard UniversityEmily Wright - Harvard UniversityAnna Shchetinina - Harvard UniversityAnna C. Siefkas - Harvard UniversityKieran P. Todd - Harvard UniversityJulian Gitelman - University of TorontoEnjoli Hall - Massachusetts Institute of TechnologyJhordan O. Wynne - Harvard UniversityNishan Zewge-Abubaker - Massachusetts Institute of TechnologyNancy Krieger - Harvard University
- Publication Details
- Epidemiologic reviews, v 45(1), pp 1-14
- Publisher
- Oxford University Press
- Number of pages
- 14
- Grant note
- American Cancer Society Clinical Research Professor Award; American Cancer Society
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:001121216500001
- Scopus ID
- 2-s2.0-85170279975
- Other Identifier
- 991022052303704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health