Racism and Older Black Americans' Health: a Systematic Review.

Racism and Older Black Americans' Health: a Systematic Review.
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DOI:
10.1007/s11524-021-00591-6
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发表时间:
2022-03
期刊:
Journal of urban health : bulletin of the New York Academy of Medicine
影响因子:
--
通讯作者:
Szanton SL
Szanton SL
中科院分区:
其他
文献类型:
--
作者:
LaFave SE;Suen JJ;Seau Q;Bergman A;Fisher MC;Thorpe RJ Jr;Szanton SL

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我们回顾了在美国50岁及以上的美国黑人成年人中将种族主义作为自变量和将一个或多个健康结果作为因变量的研究。在我们回顾的43项研究中,大多数测量了感知的人际种族主义,感知的制度种族主义或居住隔离。结构性种族主义的唯一两个衡量标准是出生和居住在“吉姆·克劳州”。14项研究发现种族主义与心理健康结果之间存在关联,5项与心血管结果相关,7项与认知相关,2项与身体功能相关,2项与端粒长度相关,5项与一般健康/其他健康结果相关。10项研究发现,老年黑人没有显着的关联。除6项研究外,所有研究均为横断面研究。需要开展研究,以了解结构性和多层次种族主义作为健康的社会决定因素的程度,以及对老年人的具体影响。改进的测量工具可以帮助解决科学中的这一差距。
We reviewed research that examines racism as an independent variable and one or more health outcomes as dependent variables in Black American adults aged 50 years and older in the USA. Of the 43 studies we reviewed, most measured perceived interpersonal racism, perceived institutional racism, or residential segregation. The only two measures of structural racism were birth and residence in a “Jim Crow state.” Fourteen studies found associations between racism and mental health outcomes, five with cardiovascular outcomes, seven with cognition, two with physical function, two with telomere length, and five with general health/other health outcomes. Ten studies found no significant associations in older Black adults. All but six of the studies were cross-sectional. Research to understand the extent of structural and multilevel racism as a social determinant of health and the impact on older adults specifically is needed. Improved measurement tools could help address this gap in science.
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