Paradies Yin, Priest Naomi, Ben Jehonathan, Truong Mandy, Gupta Arpana, Pieterse Alex, Kelaher Margaret, Gee Gilbert
Centre for Citizenship and Globalization, Faculty of Arts and Education, Deakin University, 221 Burwood Highway, Melbourne, Victoria 3125, Australia.
Syst Rev. 2013 Sep 23;2:85. doi: 10.1186/2046-4053-2-85.
Racism is increasingly recognized as a key determinant of health. A growing body of epidemiological evidence shows strong associations between self-reported racism and poor health outcomes across diverse minority groups in developed countries. While the relationship between racism and health has received increasing attention over the last two decades, a comprehensive meta-analysis focused on the health effects of racism has yet to be conducted. The aim of this review protocol is to provide a structure from which to conduct a systematic review and meta-analysis of studies that assess the relationship between racism and health.
This research will consist of a systematic review and meta-analysis. Studies will be considered for review if they are empirical studies reporting quantitative data on the association between racism and health for adults and/or children of all ages from any racial/ethnic/cultural groups. Outcome measures will include general health and well-being, physical health, mental health, healthcare use and health behaviors. Scientific databases (for example, Medline) will be searched using a comprehensive search strategy and reference lists will be manually searched for relevant studies. In addition, use of online search engines (for example, Google Scholar), key websites, and personal contact with experts will also be undertaken. Screening of search results and extraction of data from included studies will be independently conducted by at least two authors, including assessment of inter-rater reliability. Studies included in the review will be appraised for quality using tools tailored to each study design. Summary statistics of study characteristics and findings will be compiled and findings synthesized in a narrative summary as well as a meta-analysis.
This review aims to examine associations between reported racism and health outcomes. This comprehensive and systematic review and meta-analysis of empirical research will provide a rigorous and reliable evidence base for future research, policy and practice, including information on the extent of available evidence for a range of racial/ethnic minority groups.
种族主义日益被视为健康的关键决定因素。越来越多的流行病学证据表明，在发达国家，不同少数群体中自我报告的种族主义与不良健康结果之间存在密切关联。尽管在过去二十年中，种族主义与健康之间的关系受到了越来越多的关注，但尚未针对种族主义对健康的影响进行全面的荟萃分析。本综述方案的目的是提供一个框架，以便对评估种族主义与健康之间关系的研究进行系统综述和荟萃分析。
本研究将包括系统综述和荟萃分析。如果研究是实证研究，报告了来自任何种族/族裔/文化群体的所有年龄段成人和/或儿童的种族主义与健康之间关联的定量数据，则将考虑对其进行综述。结果指标将包括总体健康和幸福感、身体健康、心理健康、医疗保健使用和健康行为。将使用全面的搜索策略搜索科学数据库（例如，Medline），并手动搜索参考文献列表以查找相关研究。此外，还将使用在线搜索引擎（例如，谷歌学术）、关键网站，并与专家进行个人联系。搜索结果的筛选和纳入研究的数据提取将由至少两名作者独立进行，包括评估评分者间信度。将使用针对每个研究设计量身定制的工具对纳入综述的研究进行质量评估。将汇编研究特征和结果的汇总统计数据，并在叙述性总结以及荟萃分析中综合结果。
本综述旨在研究报告的种族主义与健康结果之间的关联。对实证研究进行的这项全面而系统的综述和荟萃分析将为未来的研究、政策和实践提供严格可靠的证据基础，包括有关一系列种族/族裔少数群体可用证据范围的信息。
