Evidence map›Paper›PMID 42201525›Full record

ReviewJournal of racial and ethnic health disparities2026

Measuring Structural Racism to Advance Health Equity: A Scoping Review of Quantitative Approaches.

Darrell J Gaskin, Ali Iftikhar, Emmanuel Animashaun, Rohan Ganesh, Hossein Zare

Abstract readReview
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In one paragraph

Review in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Darrell J GaskinDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA. dgaskin1@jh.edu.ORCID http://orcid.org/0000-0002-0822-1583
Ali IftikharDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Emmanuel AnimashaunDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Rohan GaneshDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Hossein ZareDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

Funding

Bloomberg American Health Initiative Bloomberg American Health InitiativeNIMHD NIH HHS 5U54MD000214
6 · The paper itself

Abstract

backgroundStructural racism, the interconnected policies, institutions, and norms that systematically disadvantage communities of color, remains a core determinant of health inequities in the United States. Despite growing recognition of its impact, public health lacks standardized, validated measurement tools across contexts, limiting intervention effectiveness and policy change.

methodsFollowing PRISMA guidelines, we systematically reviewed peer-reviewed studies published between January 2000 and March 2025 that quantified structural racism in relation to health outcomes in the U.S. We searched PubMed and Scopus databases and selected twenty-eight studies which met the inclusion criteria.

resultsStudies operationalized structural racism across seven domains: education, socioeconomic status, judicial treatment, residential segregation, political participation, healthcare access, and historical legacies. Metrics included disparities in degree attainment, incarceration, unemployment, poverty, voter turnout, and multidimensional indices. These measures are consistently associated with poor health outcomes, including infant mortality, cardiovascular disease, and delayed cancer treatment. Recent methodological trends show movement toward composite, spatial, and longitudinal approaches.

conclusionQuantifying structural racism is vital to dismantling systemic inequities. While progress has been made, greater methodological consistency and cross-sectoral frameworks are needed. Standardized, multidimensional measures can enable practitioners and policymakers to identify inequities, allocate resources, and develop targeted strategies that promote racial health equity, thereby making the public's health a true national priority.

Identifiers

PMID42201525

What OpenQuestion holds

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Registered trials

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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.