Akinyemiju Tomi, Osazuwa-Peters Oyomoare L, Brown Tyson H, Ramos Jude, Jones Shaun, Wilson Lauren E, Krieger Nancy
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Department of Sociology and Population Research Institute, Duke University, Durham, NC, USA.
Nat Hum Behav. 2025 Aug 26. doi: 10.1038/s41562-025-02290-7.
The US social context is characterized by systemic racism, a key driver of racial disparities. While structural and interpersonal racism are well-established components of systemic racism, cultural racism-a system of beliefs (ideology) and societal way of life (culture)-has been less robustly described and currently lacks a validated measure. We conducted confirmatory factor analysis on nine key indicators to define a cultural racism latent measure. In an analysis of US mortality data between 2018 and 2021 obtained from the Centers for Disease Control and Prevention's WONDER system, each unit increase in the cultural racism factor was associated with 136 (95% confidence interval, 90 to 182) all-cause deaths per 100,000 and a one-year decline in life expectancy (-1 (-2 to -1)); these associations were consistent for both Black and white adults. The cultural racism factor substantially advances the science of racism and health and provides an empirical basis for efforts to address US health inequities.
美国的社会背景以系统性种族主义为特征，这是种族差异的一个关键驱动因素。虽然结构性和人际间种族主义是系统性种族主义的既定组成部分，但文化种族主义——一种信仰体系（意识形态）和社会生活方式（文化）——的描述相对较少，目前也缺乏经过验证的衡量标准。我们对九个关键指标进行了验证性因素分析，以定义一种文化种族主义潜在衡量标准。在对2018年至2021年从美国疾病控制与预防中心的WONDER系统获得的美国死亡率数据进行分析时，文化种族主义因素每增加一个单位，每10万人中约有136例（95%置信区间，90至182）全因死亡，预期寿命下降一年（约-1（-2至-1））；这些关联在黑人和白人成年人中都是一致的。文化种族主义因素极大地推动了种族主义与健康领域的科学发展，并为解决美国健康不平等问题的努力提供了实证依据。
