School of Nursing, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.
Int J Soc Determinants Health Health Serv. 2023 Jul;53(3):343-353. doi: 10.1177/27551938231162560. Epub 2023 Mar 17.
Addressing racism within health systems and services is critical to addressing health vulnerabilities and promoting health equity for racialized populations. Currently, there is limited knowledge about the ways in which racism affects health services for adolescents. A scoping review was undertaken following the Joanna Briggs Institute Manual for Evidence Synthesis methodology and guided by the research questions: (1) What are the characteristics of the literature examining racism in health service use for adolescents? (2) What are the foci of the literature on systemic racism and health services for adolescents? A systematic literature search was conducted in April 2021 to identify all relevant published studies. The search identified 3049 unique articles, with a total of 13 articles included in this review. Multiple levels of racism were examined in the included articles across various health care settings. Five foci were identified: racism prevention, missed care, quality of care, racial bias, and experiences of racism. Our review indicates a current emphasis on interpersonal racism within this field of study, with emergent discussion of the impact of systemic racism. However, greater attention is needed that would investigate multiple forms of racism (institutional, interpersonal, internalized) in relation to specific contexts and adolescent populations.
解决卫生系统和服务中的种族主义问题对于解决种族化人群的健康脆弱性和促进健康公平至关重要。目前，关于种族主义如何影响青少年健康服务的知识有限。本研究采用 Joanna Briggs 研究所证据综合手册方法进行范围综述，并以以下研究问题为指导：(1) 检查健康服务使用中的种族主义对青少年的文献有哪些特点？(2) 关于青少年系统性种族主义和健康服务的文献重点是什么？ 2021 年 4 月进行了系统的文献检索，以确定所有相关的已发表研究。搜索共确定了 3049 篇独特的文章，其中共有 13 篇文章纳入本综述。纳入的文章在各种医疗保健环境中检查了多层次的种族主义。确定了五个重点：种族主义预防、护理缺失、护理质量、种族偏见和种族主义经历。我们的综述表明，目前该研究领域强调人际种族主义，同时也出现了关于系统性种族主义影响的讨论。然而，需要更多的关注，以调查与特定背景和青少年群体相关的多种形式的种族主义（制度、人际、内化）。
