White Trenton M, Borrell Luisa N, El-Mohandes Ayman
Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, The City University of New York (CUNY), 55 West 125th Street, 530, New York, NY, 10027, USA.
Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
J Racial Ethn Health Disparities. 2024 Oct 28. doi: 10.1007/s40615-024-02195-7.
This review of reviews examines the role of socioeconomic status (SES) indicators on health inequities among different racial and ethnic groups in the United States (US) between 2019 and 2023. Of the 419 articles, 27 reviews met the inclusion criteria and were aggregated into seven categories: COVID-19 and respiratory pandemic disparities; neighborhoods, gentrification, and food environment; surgical treatments; mental, psychological, and behavioral health; insurance, access to care, and policy impact; cancers; and other topics. The findings revealed a documented impact of SES indicators on racial/ethnic health inequities, with racial/ethnic minority communities, especially Black Americans, consistently showing poor health outcomes associated with lower SES, regardless of the outcome or indicator examined. These findings call attention to the importance of policies and practices that address socioeconomic factors and systemic racial/ethnic inequities affecting the social determinants of health affecting racial/ethnic inequities to improve health outcomes in the US population.
本综述性回顾研究了2019年至2023年间社会经济地位（SES）指标在美国不同种族和族裔群体健康不平等问题中所起的作用。在419篇文章中，有27篇综述符合纳入标准，并被归纳为七类：新冠疫情和呼吸道大流行差异；社区、绅士化和食品环境；外科治疗；精神、心理和行为健康；保险、医疗服务可及性和政策影响；癌症；以及其他主题。研究结果显示，SES指标对种族/族裔健康不平等有显著影响，无论所考察的结果或指标如何，种族/族裔少数群体，尤其是非裔美国人，始终表现出与较低社会经济地位相关的不良健康结果。这些发现提醒人们注意政策和实践的重要性，这些政策和实践旨在解决影响健康社会决定因素的社会经济因素和系统性种族/族裔不平等问题，从而改善美国人口的健康状况，进而影响种族/族裔不平等问题。
