Brown County Public Health, Green Bay, WI, USA.
YWCA Greater Green Bay , University of Green Bay, Green Bay, WI, USA.
J Racial Ethn Health Disparities. 2024 Jun;11(3):1246-1253. doi: 10.1007/s40615-023-01603-8. Epub 2023 Aug 24.
Connections between race and health are discussed, and racism has been called out as a root cause of health disparities. The impacts of systemic racism are not fully understood and should be considered in order to advance health equity. The aim of the study is to explore the impact of racism on healthcare experiences and well-being for communities of color.
Individuals from a Northeast region of Wisconsin, who self-identified as Somali, Hmong, Black/African American, Hispanic/Latino/a, and First Nations/Native American/Indigenous, were invited to participate in focus group discussions, and informed consent was obtained from all participants (25 adults, 17 females, and 8 males). Focus groups were planned so participants from the same self-identified communities were together, and five virtual focus group discussions were carried out. A qualitative content analysis approach was used to gain a deeper understanding of the content.
There was a range of experiences; however, everyone experienced the negative impacts of racism. Three categories, representing areas impacted by racism, and a final theme, describing the overall impact on healthcare experiences and well-being, were created. Dealing with systemic racism means that "backgrounds and values," "resources," and "prejudices" (categories) require constant attention, maneuvering, and "juggling the impacts of racism diminishes access to healthcare and well-being for communities of color" (theme).
Systemic racism negatively impacts access to healthcare and well-being for communities of color perpetuating health disparities. Planning and policy should include a focus on health equity and target systemic racism in order to diminish health disparities.
种族与健康之间存在关联，人们认为种族主义是造成健康差异的根本原因。系统性种族主义的影响尚未被充分认识，应该加以考虑，以促进健康公平。本研究旨在探讨种族主义对有色人种社区的医疗体验和福祉的影响。
威斯康星州东北部地区的个体，自我认同为索马里人、苗族、黑人和非裔美国人、西班牙裔/拉丁裔、以及第一民族/北美原住民/土著人，被邀请参加焦点小组讨论，并从所有参与者中获得知情同意（25 名成年人，17 名女性和 8 名男性）。焦点小组的计划是让来自同一自我认同社区的参与者在一起，进行了五次虚拟焦点小组讨论。采用定性内容分析方法，以更深入地了解内容。
存在各种不同的经历，但每个人都经历了种族主义的负面影响。创建了三个类别，代表受种族主义影响的领域，以及一个最终主题，描述种族主义对医疗体验和福祉的总体影响。应对系统性种族主义意味着“背景和价值观”、“资源”和“偏见”（类别）需要不断关注、操纵，并且“种族主义的影响削弱了有色人种社区获得医疗保健和福祉的机会”（主题）。
系统性种族主义对有色人种社区的医疗保健和福祉产生负面影响，使健康差异持续存在。规划和政策应关注健康公平，并针对系统性种族主义，以减少健康差异。
