Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts 02115, USA; email:
Department of African and African American Studies and Department of Sociology, Harvard University, Cambridge, Massachusetts 02138-3654, USA.
Annu Rev Public Health. 2019 Apr 1;40:105-125. doi: 10.1146/annurev-publhealth-040218-043750. Epub 2019 Feb 2.
In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and the empirical evidence that indicates that socioeconomic factors alone do not account for racial/ethnic inequities in health. Racism is considered a fundamental cause of adverse health outcomes for racial/ethnic minorities and racial/ethnic inequities in health. This article provides an overview of the evidence linking the primary domains of racism-structural racism, cultural racism, and individual-level discrimination-to mental and physical health outcomes. For each mechanism, we describe key findings and identify priorities for future research. We also discuss evidence for interventions to reduce racism and describe research needed to advance knowledge in this area.
近几十年来,关于种族主义如何对健康产生负面影响的研究呈显著增长趋势。这种兴趣的部分原因是健康方面的种族/民族不平等现象仍然很明显,以及表明仅社会经济因素并不能解释健康方面的种族/民族不平等现象的经验证据。种族主义被认为是造成少数族裔和种族/民族在健康方面处于不利地位的根本原因。本文概述了将种族主义的主要领域——结构性种族主义、文化种族主义和个人层面的歧视——与心理健康和身体健康结果联系起来的证据。对于每种机制,我们都描述了关键发现,并确定了未来研究的优先事项。我们还讨论了减少种族主义的干预措施的证据,并描述了在这一领域推进知识所需的研究。