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A systematic review of empirical research on self-reported racism and health

Paradies, Yin C. (2006). A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology,35(4):888-901.

Document type: Journal Article
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Title A systematic review of empirical research on self-reported racism and health
Author Paradies, Yin C.
Journal Name International Journal of Epidemiology
Publication Date 2006
Volume Number 35
Issue Number 4
ISSN 0300-5771   (check CDU catalogue open catalogue search in new window)
Start Page 888
End Page 901
Total Pages 14
Place of Publication UK
Publisher Oxford University Press
HERDC Category C1 - Journal Article (DEST)
Abstract This paper reviews 138 empirical quantitative population-based studies of self-reported racism and health. These studies show an association between self-reported racism and ill health for oppressed racial groups after adjustment for a range of confounders. The strongest and most consistent findings are for negative mental health outcomes and health-related behaviours, with weaker associations existing for positive mental health outcomes, self-assessed health status, and physical health outcomes. Most studies in this emerging field have been published in the past 5 years and have been limited by a dearth of cohort studies, a lack of psychometrically validated exposure instruments, poor conceptualization and definition of racism, conflation of racism with stress, and debate about the aetiologically relevant period for self-reported racism. Future research should examine the psychometric validity of racism instruments and include these instruments, along with objectively measured health outcomes, in existing large-scale survey vehicles as well as longitudinal studies and studies involving children. There is also a need to gain a better understanding of the perception, attribution, and reporting of racism, to investigate the pathways via which self-reported racism affects health, the interplay between mental and physical health outcomes, and exposure to intra-racial, internalized, and systemic racism. Ensuring the quality of studies in this field will allow future research to reveal the complex role that racism plays as a determinant of population health.
Keywords Affect
Behaviour
Cohort Studies
Health Status
Longitudinal Studies
Population Health
Reporting
Reviews
Survey
systematic review
Validity
DOI http://dx.doi.org/10.1093/ije/dyl056   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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