Assessing Structural Racism Measures on Health Outcomes of Asian Americans, Native Hawaiians, and Pacific Islanders: A Scoping Review

Background Limited literature exists on structural racism measures on health outcomes for Asian Americans, Native Hawaiians, and Pacific Islanders (AAs and NH/PIs). AAs and NH/PIs make up approximately 6.2% of the U.S. population and consist of diverse ethnic subgroups with distinct languages, cultu...

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Vydáno v:Journal of racial and ethnic health disparities Ročník 12; číslo 3; s. 1553 - 1564
Hlavní autoři: Raman, Priya, Chu, Christina T., Chong, Stella K., Mukherjea, Arnab, Kue, Jennifer
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cham Springer International Publishing 01.06.2025
Springer Nature B.V
Témata:
Asian American Native Hawaiian and Pacific Islander - statistics & numerical data
Asian Americans
Citation indexes
Cultural differences
Data collection
Education
Employment
Epidemiology
Health behavior
Health disparities
Health status
Health Status Disparities
Humans
Imprisonment
Inclusion
Languages
Literature reviews
Liver cancer
Measures
Medicine
Medicine & Public Health
Mental health
Minority & ethnic groups
Pacific Islander people
Public health
Quality of Life Research
Racial segregation
Racism
Religion
Segregation
Social Inequality
Social sciences
Social Structure
Socioeconomic factors
Socioeconomic status
Subgroups
Systemic Racism
United States
United States
United States > US
Native Hawaiians
Pacific Islanders
Health outcomes
Asian Americans
Structural racism
ISSN:2197-3792, 2196-8837, 2196-8837
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Shrnutí:Background Limited literature exists on structural racism measures on health outcomes for Asian Americans, Native Hawaiians, and Pacific Islanders (AAs and NH/PIs). AAs and NH/PIs make up approximately 6.2% of the U.S. population and consist of diverse ethnic subgroups with distinct languages, cultures, religions, socioeconomic statuses, and historical backgrounds. The lack of disaggregated data collection and contextualized measures hinders our understanding of how structural racism affects health outcomes in these populations. Methods We conducted a scoping review to assess the extent to which measures of structural racism are used in research with AAs and NH/PIs. Databases, including CINAHL, EBSCO, PsychINFO, PubMed, Scopus, and Social Science Citation Index, were searched for peer-reviewed articles on the measures of and empirical impacts of structural racism on AA and NH/PI health. We identified 23 full-text articles from a pool of 11,660 screened articles. Four articles were included in the final analysis. Results Among the selected studies, two studies identified an association between racial segregation and mental and behavioral health outcomes within AAs and NH/PIs. The other two studies found redlining on chronic health outcomes in these communities. These studies uncovered associations between government systems and policies and AA and NH/PI health outcomes. Discussion Existing measures may not adequately capture the complex relationships between structural racism and health outcomes in AAs and NH/PIs. Future research should contextualize and operationalize the multifaceted manifestations of structural racism unique to AAs and NH/PIs to achieve health equity.
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ISSN:2197-3792
2196-8837
2196-8837
DOI:10.1007/s40615-024-01987-1