Journal
HEALTH AFFAIRS
Volume 41, Issue 2, Pages 179-186Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.2021.01489
Keywords
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Funding
- Center for Antiracism Research for Health Equity at the University of Minnesota School of Public Health
- Minnesota Population Center - Eunice Kennedy Shriver National Institute of Child Health and Human Development [P2C HD041023]
- Centers on the Demography and Economics of Aging Program award [P30 AG034424]
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Antiracist health policy research requires innovative methods to create equitable and antiracist solutions for health inequities. However, there is a disconnect between the conceptualization and measurement of structural racism in the public health literature. This article highlights the importance of methodological approaches that can validly measure structural racism for achieving health equity.
Antiracist health policy research requires methodological innovation that creates equity-centered and antiracist solutions to health inequities by centering the complexities and insidiousness of structural racism. The development of effective health policy and health equity interventions requires sound empirical characterization of the nature of structural racism and its impact on public health. However, there is a disconnect between the conceptualization and measurement of structural racism in the public health literature. Given that structural racism is a system of interconnected institutions that operates with a set of racialized rules that maintain White supremacy, how can anyone accurately measure its insidiousness? This article highlights methodological approaches that will move the field forward in its ability to validly measure structural racism for the purposes of achieving health equity. We identify three key areas that require scholarly attention to advance antiracist health policy research: historical context, geographical context, and theory-based novel quantitative and qualitative methods that capture the multifaceted and systemic properties of structural racism as well as other systems of oppression.
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