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Socially-assigned race and health: a scoping review with global implications for population health equity.
International Journal for Equity in Health ( IF 4.5 ) Pub Date : 2020-02-10 , DOI: 10.1186/s12939-020-1137-5
Kellee White 1 , Jourdyn A Lawrence 2 , Nedelina Tchangalova 3 , Shuo J Huang 1 , Jason L Cummings 4
Affiliation  

Self-identified race/ethnicity is largely used to identify, monitor, and examine racial/ethnic inequalities. A growing body of work underscores the need to consider multiple dimensions of race - the social construction of race as a function of appearance, societal interactions, institutional dynamics, stereotypes, and social norms. One such multidimensional measure is socially-assigned race, the perception of one's race by others, that may serve as the basis for differential or unfair treatment and subsequently lead to deleterious health outcomes. We conducted a scoping review to systematically appraise the socially-assigned race and health literature. A systematic search of the PubMed, Web of Science, 28 EBSCO databases and 24 Proquest databases up to September 2019 was conducted and supplemented by a manual search of reference lists and grey literature. Quantitative and qualitative studies that examined socially-assigned race and health or health-related outcomes were considered for inclusion. Eighteen articles were included in the narrative synthesis. Self-rated health and mental health were among the most frequent outcomes studied. The majority of studies were conducted in the United States, with fewer studies conducted in New Zealand, Canada, and Latin America. While most studies demonstrate a positive association between social assignment as a disadvantaged racial or ethnic group and poorer health, some studies did not document an association. We describe key conceptual and methodological considerations that should be prioritized in future studies examining socially-assigned race and health. Socially-assigned race can provide additional insight into observed differential health outcomes among racial/ethnic groups in racialized societies based upon their lived experiences. Studies incorporating socially-assigned race warrants further investigation and may be leveraged to examine nuanced patterns of racial health advantage and disadvantage.

中文翻译:

社会分配的种族与健康:对人口健康公平具有全球影响的范围界定审查。

自我认同的种族/民族主要用于识别、监测和检查种族/民族不平等。越来越多的工作强调需要考虑种族的多个维度——种族的社会建构作为外表、社会互动、制度动态、刻板印象和社会规范的函数。其中一种多维衡量标准是社会分配种族,即他人对一个人种族的看法,这可能成为差别或不公平待遇的基础,并随后导致有害的健康结果。我们进行了范围界定审查,系统地评估了社会分配的种族和健康文献。截至 2019 年 9 月,对 PubMed、Web of Science、28 个 EBSCO 数据库和 24 个 Proquest 数据库进行了系统检索,并通过参考文献列表和灰色文献的手动检索进行了补充。考虑纳入检查社会分配种族和健康或健康相关结果的定量和定性研究。叙述综合中包含十八篇文章。自评健康和心理健康是最常见的研究结果之一。大多数研究是在美国进行的,新西兰、加拿大和拉丁美洲进行的研究较少。虽然大多数研究表明,作为弱势种族或族裔群体的社会分配与较差的健康状况之间存在正相关关系,但一些研究并未记录这种关联。我们描述了在未来研究社会分配种族和健康状况时应优先考虑的关键概念和方法论考虑因素。社会分配的种族可以根据他们的生活经历,进一步洞察种族化社会中种族/族裔群体之间观察到的健康结果差异。纳入社会分配种族的研究值得进一步调查,并可用于检查种族健康优势和劣势的微妙模式。
更新日期:2020-04-22
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