Public Health Rep. 2018 May/Jun;133(3):240-249. doi: 10.1177/0033354918760574. Epub 2018 Apr 03.
Naming Institutionalized Racism in the Public Health Literature: A Systematic Literature Review.
Public health reports (Washington, D.C. : 1974)
Rachel R Hardeman, Katy A Murphy, J'Mag Karbeah, Katy Backes Kozhimannil
Affiliations
Affiliations
- 1 Division of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
- 2 Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
PMID: 29614234
PMCID: PMC5958385 DOI: 10.1177/0033354918760574
Abstract
OBJECTIVES: Although a range of factors shapes health and well-being, institutionalized racism (societal allocation of privilege based on race) plays an important role in generating inequities by race. The goal of this analysis was to review the contemporary peer-reviewed public health literature from 2002-2015 to determine whether the concept of institutionalized racism was named (ie, explicitly mentioned) and whether it was a core concept in the article.
METHODS: We used a systematic literature review methodology to find articles from the top 50 highest-impact journals in each of 6 categories (249 journals in total) that most closely represented the public health field, were published during 2002-2015, were US focused, were indexed in PubMed/MEDLINE and/or Ovid/MEDLINE, and mentioned terms relating to institutionalized racism in their titles or abstracts. We analyzed the content of these articles for the use of related terms and concepts.
RESULTS: We found only 25 articles that named institutionalized racism in the title or abstract among all articles published in the public health literature during 2002-2015 in the 50 highest-impact journals and 6 categories representing the public health field in the United States. Institutionalized racism was a core concept in 16 of the 25 articles.
CONCLUSIONS: Although institutionalized racism is recognized as a fundamental cause of health inequities, it was not often explicitly named in the titles or abstracts of articles published in the public health literature during 2002-2015. Our results highlight the need to explicitly name institutionalized racism in articles in the public health literature and to make it a central concept in inequities research. More public health research on institutionalized racism could help efforts to overcome its substantial, longstanding effects on health and well-being.
Keywords: health policy; institutionalized racism; public health; racial disparities; social inequities; structural racism
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