Duke University, Durham, NC, USA.
Florida State University, Tallahassee, FL, USA.
J Health Soc Behav. 2024 Mar;65(1):141-160. doi: 10.1177/00221465231222924. Epub 2024 Feb 3.
Less than 1% of studies on racialized health inequities have empirically examined their root cause: structural racism. Moreover, there has been a disconnect between the conceptualization and measurement of structural racism. This study advances the field by (1) distilling central tenets of theories of structural racism to inform measurement approaches, (2) conceptualizing U.S. states as racializing institutional actors shaping health, (3) developing a novel latent measure of structural racism in states, (4) using multilevel models to quantify the association between structural racism and five individual-level health outcomes among respondents from the Health and Retirement Study (N = 9,020) and the Behavioral Risk Factor Surveillance System (N = 308,029), and (5) making our measure of structural racism publicly available to catalyze research. Results show that structural racism is consistently associated with worse health for Black people but not White people. We conclude by highlighting this study's contributions (theoretical, methodological, and substantive) and important avenues for future research on the topic.
种族健康不平等的研究中，不足 1%的研究从实证角度检验了其根本原因：结构性种族主义。此外，结构性种族主义的概念化和衡量之间存在脱节。本研究通过以下方式推进该领域的发展：（1）提炼结构性种族主义理论的核心原则，为衡量方法提供信息；（2）将美国各州视为塑造健康的种族化制度行为体；（3）在各州开发一种新的结构性种族主义潜在衡量方法；（4）使用多层次模型来量化结构性种族主义与健康与退休研究（N=9020）和行为风险因素监测系统（N=308029）中受访者的五个个体健康结果之间的关联；（5）公开我们的结构性种族主义衡量方法，以促进研究。结果表明，结构性种族主义与黑人的健康状况较差相关，但与白人无关。最后，我们强调了这项研究在理论、方法和实质方面的贡献，以及该主题未来研究的重要方向。
