Evidence map›Paper›PMID 35994173›Full record

ReviewJournal of racial and ethnic health disparities2023

Institutional Racism and Health: a Framework for Conceptualization, Measurement, and Analysis.

Belinda L Needham, Talha Ali, Kristi L Allgood, Annie Ro, Jana L Hirschtick, Nancy L Fleischer

Abstract readReview
In one paragraph

Review in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Racial Discrimination and Multiple Health Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Are the Australian Dietary Guidelines Fit for Purpose for Culturally Diverse Populations? A Qualitative Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Migrant Mums and Maternity Care: A Qualitative Participatory Health Research Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Everyday racism experiences, healthcare access, and self-rated health: A study of Black men in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Belinda L NeedhamCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA. needhamb@umich.edu.ORCID 0000-0001-5939-2027
Talha AliDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Kristi L AllgoodCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Annie RoDepartment of Health, Society, and Behavior, University of California-Irvine Program in Public Health, Irvine, CA, USA.
Jana L HirschtickCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Nancy L FleischerCenter for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.

Funding

Yale Training Program in Geriatric Clinical Epidemiology and Aging-Related ResearchT32AG019134 · NIA · YALE UNIVERSITY · PI Terri R. Fried · 2001 to 2026
$7.5M
Structural Racism and Adverse Birth Outcomes in the US South: A Multigenerational Perspective (Diversity Supplement)R01MD016046 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FLEISCHER, NANCY, RO, ANNIE EUN YOUNG · 2021 to 2023
$2.1M
NIA NIH HHS T32 AG019134NIMHD NIH HHS R01 MD016046
6 · The paper itself

Abstract

Despite growing interest in the health-related consequences of racially discriminatory institutional policies and practices, public health scholars have yet to reach a consensus on how to measure and analyze exposure to institutional racism. The purpose of this paper is to provide an overview of the conceptualization, measurement, and analysis of institutional racism in the context of quantitative research on minority health and health disparities in the United States. We begin by providing definitions of key concepts (e.g., racialization, racism, racial inequity) and describing linkages between these ideas. Next, we discuss the hypothesized mechanisms that link exposure to institutional racism with health. We then provide a framework to advance empirical research on institutional racism and health, informed by a literature review that summarizes measures and analytic approaches used in previous studies. The framework addresses six considerations: (1) policy identification, (2) population of interest, (3) exposure measurement, (4) outcome measurement, (5) study design, and (6) analytic approach. Research utilizing the proposed framework will help inform structural interventions to promote minority health and reduce racial and ethnic health disparities.

Indexed as

RacismSystemic RacismConcept FormationHumansMinority HealthRacial GroupsUnited StatesFrameworkHealth disparitiesInstitutional racismMeasurementStructural racism

Identifiers

PMID35994173
PMCPMC9395863

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.