Duke University School of Nursing, 307 Trent Drive, Durham, 27710, USA.
Duke University School of Nursing, 307 Trent Drive, Durham, 27710, USA.
Soc Sci Med. 2024 Dec;362:117403. doi: 10.1016/j.socscimed.2024.117403. Epub 2024 Oct 12.
Previous studies have reported on the health impact of systemic racism among historically oppressed populations. In fact, there is an emerging body of literature, including systematic reviews, which describe the negative health consequences of systemic racism among racial/ethnic minoritized groups in the US. Less is known, however, about effective intervention strategies to address systemic racism and the resulting health inequities. This scoping review was conducted to synthesize the published literature on U.S.-based interventions designed to improve health equity by addressing systemic racism. The Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review (PRISMA-ScR) checklist was used to report this review. We searched six databases (MEDLINE, CINAHL, PsycINFO, Sociological Abstracts, Web of Science Core Collection, and Scopus) to examine the intervention studies. A total of 172 articles were included in review. These interventions were classified by typology which included healing-centered approaches, community-based interventions targeting health disparities, diversity, equity, inclusion (DEI) efforts, anti-racism training interventions, and policy interventions. The findings from this review have important implications for the development, testing, and scaling of interventions designed to addressed systemic racism.
先前的研究报告了历史上受压迫人群中系统性种族主义对健康的影响。事实上,越来越多的文献,包括系统评价,描述了美国少数族裔群体中系统性种族主义对健康的负面影响。然而,人们对解决系统性种族主义和由此产生的健康不平等的有效干预策略知之甚少。本范围综述旨在综合美国旨在通过解决系统性种族主义来改善健康公平的干预措施的已发表文献。该综述使用了系统评价和荟萃分析扩展的首选报告项目(PRISMA-ScR)清单来报告。我们检索了六个数据库(MEDLINE、CINAHL、PsycINFO、社会学摘要、Web of Science 核心合集和 Scopus),以检查干预研究。共有 172 篇文章被纳入综述。这些干预措施按治疗方法、针对健康差异的社区干预措施、多样性、公平性、包容性(DEI)工作、反种族主义培训干预措施和政策干预措施进行了分类。这项研究的结果对旨在解决系统性种族主义的干预措施的开发、测试和推广具有重要意义。