Structural racism theory, measurement, and methods: A scoping review.

Simone Wien, Andres L Miller, Michael R Kramer
Author Information
  1. Simone Wien: Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
  2. Andres L Miller: Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
  3. Michael R Kramer: Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.

Abstract

Introduction: Epidemiologic and public health interest in structural racism has grown dramatically, producing both increasingly sophisticated questions, methods, and findings, coupled with concerns of atheoretical and ahistorical approaches that often leave the actual production of health or disease ambiguous. This trajectory raises concerns as investigators adopt the term "structural racism" without engaging with theories and scholars with a long history in this area. This scoping review aims to build upon recent work by identifying current themes about the incorporation of structural racism into (social) epidemiologic research and practice with respect to theory, measurement, and practices and methods for trainees and public health researchers who are not already deeply grounded in this work.
Methods: This review uses methodological framework and includes peer-review articles written in English published between January 2000-August 2022.
Results: A search of Google Scholar, manual collection, and referenced lists identified a total of 235 articles; 138 met the inclusion criteria after duplicates were removed. Results were extracted by, and organized into, three broad sections: theory, construct measurement, and study practice and methods, with several themes summarized in each section.
Discussion: This review concludes with a summary of recommendations derived from our scoping review and a call to action echoing previous literature to resist an uncritical and superficial adoption of "structural racism" without attention to already existing scholarship and recommendations put forth by experts in the field.

Keywords

References

  1. Am J Prev Med. 2020 Oct;59(4):530-537 [PMID: 32863079]
  2. Am J Public Health. 2012 May;102(5):936-44 [PMID: 22420803]
  3. N Engl J Med. 2020 Nov 26;383(22):2101-2103 [PMID: 33031653]
  4. Am J Epidemiol. 2022 Mar 24;191(4):548-551 [PMID: 34718384]
  5. Am J Epidemiol. 2015 Jan 15;181(2):92-9 [PMID: 25480821]
  6. Health Aff (Millwood). 2022 Feb;41(2):289-295 [PMID: 35130069]
  7. Health Place. 2022 May;75:102800 [PMID: 35405583]
  8. J Health Soc Behav. 2021 Sep;62(3):350-370 [PMID: 34355603]
  9. J Racial Ethn Health Disparities. 2018 Oct;5(5):966-977 [PMID: 29218496]
  10. Ann Epidemiol. 2016 Oct;26(10):674-680 [PMID: 27641316]
  11. Health Aff (Millwood). 2022 Feb;41(2):179-186 [PMID: 35130062]
  12. Int J Epidemiol. 2001 Aug;30(4):668-77 [PMID: 11511581]
  13. SSM Popul Health. 2020 Feb 07;10:100555 [PMID: 32099895]
  14. J Racial Ethn Health Disparities. 2018 Apr;5(2):357-365 [PMID: 28573643]
  15. Soc Sci Med. 2010 Oct;71(8):1390-8 [PMID: 20822840]
  16. Int J Health Serv. 1999;29(2):295-352 [PMID: 10379455]
  17. AMA J Ethics. 2021 Feb 1;23(2):E140-145 [PMID: 33635194]
  18. Am J Epidemiol. 2020 Mar 2;189(3):167-170 [PMID: 31579911]
  19. Birth. 2020 Mar;47(1):3-7 [PMID: 31630454]
  20. Health Psychol. 2014 Jan;33(1):35-42 [PMID: 23730720]
  21. Cancer Epidemiol Biomarkers Prev. 2021 Jan;30(1):53-60 [PMID: 33008873]
  22. Ann Fam Med. 2022 Mar-Apr;20(2):157-163 [PMID: 35045967]
  23. Epidemiology. 1999 Jan;10(1):37-48 [PMID: 9888278]
  24. Annu Rev Public Health. 2020 Apr 2;41:37-62 [PMID: 31765272]
  25. Am J Epidemiol. 2015 Aug 15;182(4):302-12 [PMID: 26199382]
  26. Am J Public Health. 2016 May;106(5):800-7 [PMID: 26985616]
  27. Vaccine X. 2022 Apr;10:100134 [PMID: 34961848]
  28. Matern Child Health J. 2021 Mar;25(3):402-413 [PMID: 33398713]
  29. Int J Epidemiol. 2016 Dec 1;45(6):1866-1886 [PMID: 28108528]
  30. Am J Public Health. 2012 May;102(5):967-74 [PMID: 22420802]
  31. Demography. 2021 Jun 1;58(3):975-985 [PMID: 34042987]
  32. Front Public Health. 2021 Apr 15;9:655447 [PMID: 33937178]
  33. Lancet. 2017 Apr 8;389(10077):1453-1463 [PMID: 28402827]
  34. Annu Rev Public Health. 2019 Apr 1;40:105-125 [PMID: 30601726]
  35. Int J Epidemiol. 2006 Jun;35(3):643-7 [PMID: 16556642]
  36. J Epidemiol Community Health. 2020 Nov;74(11):875-881 [PMID: 32535549]
  37. Soc Sci Med. 2010 Jul;71(1):10-2 [PMID: 20392553]
  38. Matern Child Health J. 2022 Apr;26(4):661-669 [PMID: 34982327]
  39. J Law Med Ethics. 2020 Sep;48(3):506-517 [PMID: 33021163]
  40. Arch Intern Med. 2010 May 24;170(10):896-904 [PMID: 20498418]
  41. Am J Public Health. 2008 Sep;98(9 Suppl):S48-56 [PMID: 18687618]
  42. J Health Soc Behav. 2010;51 Suppl:S15-27 [PMID: 20943580]
  43. J Womens Health (Larchmt). 2021 Feb;30(2):230-235 [PMID: 33181043]
  44. Soc Sci Med. 2016 Oct;166:254-257 [PMID: 26777446]
  45. Int J Health Serv. 2014;44(4):643-710 [PMID: 25626224]
  46. Ethn Dis. 2021 May 20;31(Suppl 1):319-332 [PMID: 34045834]
  47. Health Equity. 2018 Sep 24;2(1):249-259 [PMID: 30283874]
  48. Epidemiology. 2018 Jan;29(1):142-150 [PMID: 28926374]
  49. Du Bois Rev. 2011 Apr;8(1):115-132 [PMID: 25632292]
  50. Public Health Rep. 2011 Sep-Oct;126 Suppl 3:102-14 [PMID: 21836743]
  51. Am J Epidemiol. 2019 May 1;188(5):862-865 [PMID: 30877289]
  52. N Engl J Med. 2021 Aug 26;385(9):850-855 [PMID: 34469642]
  53. Health Place. 2010 Nov;16(6):1113-23 [PMID: 20705500]
  54. JAMA Netw Open. 2021 Dec 1;4(12):e2130290 [PMID: 34878551]
  55. Curr Epidemiol Rep. 2016 Mar;3(1):63-71 [PMID: 27326386]
  56. Soc Sci Med. 2018 Feb;199:106-114 [PMID: 28552294]
  57. Am J Epidemiol. 2022 Jan 1;191(1):1-6 [PMID: 34447984]
  58. J Gerontol A Biol Sci Med Sci. 2022 Feb 3;77(2):402-404 [PMID: 34940845]
  59. EClinicalMedicine. 2021 Jun 03;36:100921 [PMID: 34142070]
  60. Am J Epidemiol. 2020 Mar 2;189(3):171-174 [PMID: 31566211]
  61. BMC Med Res Methodol. 2020 Feb 7;20(1):25 [PMID: 32028894]
  62. J Health Soc Behav. 2022 Jun;63(2):232-249 [PMID: 35001689]
  63. Annu Rev Public Health. 2022 Apr 5;43:79-98 [PMID: 34982586]
  64. BMC Public Health. 2021 Jun 5;21(1):1078 [PMID: 34098923]
  65. Ann Intern Med. 2018 Oct 2;169(7):467-473 [PMID: 30178033]
  66. Am J Epidemiol. 2022 Aug 22;191(9):1521-1526 [PMID: 35792088]
  67. N Engl J Med. 2021 Feb 25;384(8):768-773 [PMID: 33326717]
  68. J Natl Med Assoc. 2018 Apr;110(2):106-116 [PMID: 29580443]
  69. SSM Popul Health. 2020 Mar 09;11:100564 [PMID: 32195315]
  70. Soc Sci Med. 2014 May;108:147-55 [PMID: 24641879]
  71. Milbank Q. 2012 Dec;90(4):634-81 [PMID: 23216426]
  72. Proc Natl Acad Sci U S A. 2019 Aug 20;116(34):16793-16798 [PMID: 31383756]
  73. Health Aff (Millwood). 2022 Feb;41(2):195-202 [PMID: 35130060]
  74. J Urban Health. 2022 Feb;99(1):67-76 [PMID: 35018611]
  75. J Urban Health. 2022 Oct;99(5):794-802 [PMID: 35486285]
  76. Am Behav Sci. 2013 Aug 1;57(8): [PMID: 24347666]
  77. Health Serv Res. 2020 Oct;55 Suppl 2:777-780 [PMID: 32976632]
  78. Am J Epidemiol. 2016 Aug 15;184(4):315-24 [PMID: 27489089]
  79. Am J Epidemiol. 2008 Jul 1;168(1):1-8 [PMID: 18480064]
  80. J Public Health Manag Pract. 2008 Nov;14 Suppl:S8-17 [PMID: 18843244]
  81. Ethn Dis. 2021 May 20;31(Suppl 1):301-310 [PMID: 34045832]
  82. Soc Sci Med. 1994 Oct;39(7):887-903 [PMID: 7992123]
  83. Am J Med Sci. 2003 Jun;325(6):315-31 [PMID: 12811228]
  84. Ann Am Acad Pol Soc Sci. 2021 Mar;694(1):48-58 [PMID: 34446942]
  85. Am J Public Health. 2013 Dec;103(12):2234-44 [PMID: 24134378]
  86. AIDS Behav. 2022 Nov;26(11):3713-3725 [PMID: 35661016]
  87. PLoS One. 2020 Dec 31;15(12):e0245008 [PMID: 33382849]
  88. Am J Public Health. 2015 Aug;105(8):1681-8 [PMID: 26066964]
  89. JAMA Intern Med. 2021 Sep 1;181(9):1207-1215 [PMID: 34309621]
  90. SSM Popul Health. 2021 May 12;14:100813 [PMID: 34041352]
  91. Epidemiology. 2014 Jul;25(4):494-504 [PMID: 24825344]
  92. Am J Public Health. 2010 Apr 1;100 Suppl 1:S30-5 [PMID: 20147679]
  93. Ethn Dis. 2021 May 20;31(Suppl 1):293-300 [PMID: 34045831]
  94. Health Equity. 2021 Feb 25;5(1):49-58 [PMID: 33681689]
  95. J Med Syst. 2022 Feb 12;46(3):17 [PMID: 35150324]
  96. Soc Sci Med. 2018 Feb;199:29-38 [PMID: 28410759]
  97. Proc Natl Acad Sci U S A. 2021 May 25;118(21): [PMID: 33972409]
  98. J Urban Health. 2019 Apr;96(2):159-170 [PMID: 29869317]
  99. Health Aff (Millwood). 2022 Feb;41(2):219-227 [PMID: 35130073]
  100. Med Care. 2014 Oct;52(10 Suppl 3):S71-5 [PMID: 25215922]
  101. J Public Health Manag Pract. 2022 Jan-Feb 01;28(Suppl 1):S3-S8 [PMID: 34797254]
  102. Ethn Dis. 2021 May 20;31(Suppl 1):285-288 [PMID: 34045829]
  103. Am Behav Sci. 2013 Aug 1;57(8): [PMID: 24347667]
  104. Soc Sci Med. 2014 May;109:66-74 [PMID: 24705336]
  105. Am J Public Health. 2000 Aug;90(8):1212-5 [PMID: 10936998]
  106. Am J Epidemiol. 2015 Jan 15;181(2):103-5 [PMID: 25480820]
  107. Am J Public Health. 2020 Jul;110(7):1046-1053 [PMID: 32437270]
  108. Am J Public Health. 2000 Jun;90(6):867-72 [PMID: 10846503]
  109. Am J Epidemiol. 2020 Nov 2;189(11):1244-1253 [PMID: 32619007]
  110. Am J Epidemiol. 2022 Mar 24;191(4):539-547 [PMID: 34564723]
  111. EClinicalMedicine. 2021 Aug 13;40:101092 [PMID: 34746713]
  112. Health Educ Behav. 2021 Jun;48(3):332-341 [PMID: 34080482]
  113. J Gerontol B Psychol Sci Soc Sci. 2022 Aug 11;77(8):1467-1477 [PMID: 35139199]
  114. Am J Prev Med. 2011 Mar;40(3):303-11 [PMID: 21335261]
  115. Public Health Rep. 2021 Jul-Aug;136(4):428-440 [PMID: 33617383]
  116. Soc Sci Med. 2014 Feb;103:42-50 [PMID: 24507909]
  117. Milbank Q. 2002;80(4):677-707, iv [PMID: 12532644]
  118. Soc Sci Med. 2010 Apr;70(7):1100-8 [PMID: 20122771]
  119. Ethn Health. 2000 Aug-Nov;5(3-4):243-68 [PMID: 11105267]
  120. SSM Popul Health. 2017 Dec;3:609-617 [PMID: 29226214]

MeSH Term

Humans
Public Health
Racism
Research Personnel
Writing

Word Cloud

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