Terminology and Definitions of Racial Health Equity in Prominent Health Websites: A Systematic Review? (Preprint)

Abstract

BACKGROUND The websites of prominent public health and healthcare organizations play pivotal roles in ensuring access to quality health information, including information guiding health equity. Several initiatives have been developed in the United States to promote equitable, fair, and inclusive health information and practices across prominent health websites. Currently, health disparities across racial groups are recognized as a critical public health problem. Simultaneously, the use of the term “racial health equity/equities” has been rising in academic literature. However, the definition and findability of “racial health equity/equities” information has not yet been evaluated in health websites. Thus, we utilized a systematic review approach to assess the findability and availability of racial health equity terminology and definitions across prominent health organization websites. OBJECTIVE The objective of this study was to systematically evaluate the definitions and findability of “racial health equity/equities and related terms” on prominent health organizations’ websites. METHODS We conducted a systematic review of websites from government agencies, professional organizations, and selected health care organizations with relevance to the United States healthcare system. Google and the US Digital Analytics program were used for initial searches. Definitions, terms, and accompanying citations for racial health equity terms, including “racial health inequity” or “racial health disparities,” were extracted from all websites. A findability tool was developed to evaluate the ease of finding the terms and definitions, with ratings ranging from "very easy" to "very difficult." Additionally, we analyzed the themes and sentiments of the retrieved definitions. RESULTS We analyzed 69 websites from prominent health organizations. Approximately half (31) of the websites lacked any definitions for racial health equity and related terms, and of the 38 that included definitions, most did not include citations. The definitions varied across websites, and most were rated as “very difficult” to find. CONCLUSIONS This study highlights the absence of a systematic, standardized, and accurate approach to organizing, defining, and presenting racial health equity information on prominent health websites. Specifically, there is a lack of consistent definitions for racial health equity and related terms across prominent health organization websites. CLINICALTRIAL N/A