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Incorporating Measures of Structural Racism into Population Studies of Reproductive Health in the United States: A Narrative Review (Health Equity)

Publication Topics

California Health Interview Survey; Racial and Ethnic Groups; African-American; Women; Social Determinants; Population Focus; Adolescents/Children

Publication Type

CHIS Journal Article

Publication Date


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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1900\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1900&amp;RootFolder=*">Julianna G. Alson</a>

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Summary: Black women in the United States face poor outcomes across reproductive health measures — from pregnancy outcomes to gynecologic cancers. Racial health inequities are attributable to systemic racism, but few population studies of reproductive health outcomes integrate upstream measures of systemic racism, and those who do are limited to maternal and infant health outcomes. Advances in understanding and intervening on the pathway from racism to reproductive health outcomes are limited by a paucity of methodological guidance toward this end. Authors aim to fill this gap by identifying quantitative measures of systemic racism that are salient across reproductive health outcomes.

Authors conducted a review of literature from 2000 to 2019 to identify studies that use quantitative measures of exposure to systemic racism in population reproductive health studies. They analyzed the catalog of literature to identify cohesive domains and measures that integrate data across domains. For each domain, authors contextualize its use within population health research, describe metrics currently in use, and present opportunities for their application to reproductive health research.

Findings: Authors identified four domains of systemic racism that may affect reproductive health outcomes: (1) civil rights laws and legal racial discrimination, (2) residential segregation and housing discrimination, (3) police violence, and (4) mass incarceration. Multiple quantitative measures are available for each domain. In addition, a multidimensional measure exists and additional domains of systemic racism are salient for future development into distinct measures.

There are quantitative measures of systemic racism available for incorporation into population studies of reproductive health that investigate hypotheses, including and beyond those related to maternal and infant health. There are also promising areas for future measure development, such as the child welfare system and intersectionality. Incorporating such measures is critical for appropriate assessment of and intervention in racial inequities in reproductive health outcomes.

California Health Interview Survey (CHIS) data was mentioned in this study. 


Article 1

Journal Article: Incorporating Measures of Structural Racism into Population Studies of Reproductive Health in the United States: A Narrative Review

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Press Release

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California Health Interview Survey (CHIS)

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Version: 2.0
Created at 5/18/2021 10:49 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 5/18/2021 3:27 PM by i:0#.f|uclachissqlmembershipprovider|celeste