White Supremacy and the Core Functions of Public Health

Alang, Sirry; Karbeah, J’Mag; Akosionu, Odichinma; McGuire, Cydney; Abdi, Hamdi I.; McAlpine, Donna

doi:10.2105/ajph.2020.306137

Cited by 35 publications

(21 citation statements)

References 15 publications

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“…Moreover, institutions should establish systems for tracking retention and advancement. We agree with other scholars who have recommended that institutions should publicly report gender and ethnicity of faculty, including at different seniority levels, and that these data be used for rankings and accreditation [e.g., ( 2 , 4 , 9 )].…”

Section: Discussion and Solutionssupporting

confidence: 81%

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Latina Women in Academia: Challenges and Opportunities

Abraído-Lanza

Echeverría

Flórez

et al. 2022

Front. Public Health

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Latina women and other ethnic and racial groups continue to be underrepresented in science, technology, engineering, and mathematics (STEM) fields, including public health. This underrepresentation of people from diverse backgrounds and lived experiences in academic public health and other scientific disciplines is a form of epistemic oppression, exclusion that hinders contribution to knowledge production and advancement. Our analysis of 2021 data from the Association of Schools and Programs of Public Health indicates that Latinos/as represented only 6.0% of all instructional faculty and 6.1% of all tenured faculty at schools and programs of public health. We discuss the ways in which sociopolitical contexts, family-level dynamics and gendered norms, and institutional contexts hamper Latinas' full participation in academia. We propose solutions such as redefining metrics for success, leadership accountability, equity analyses, cluster hiring initiatives, and instituting structured mentoring and leadership programs. Bold actions are needed if we are to advance the scientific enterprise and address the diversity and equity problem in public health.

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Section: Discussion and Solutionssupporting

confidence: 81%

“…Several excellent reviews revealed the critical gaps that remain in advancing women in the sciences, including public health ( 1 , 2 , 9 – 11 ). This perspective article is not based on an extensive review of relevant literature on this topic.…”

Section: Introductionmentioning

confidence: 99%

Latina Women in Academia: Challenges and Opportunities

Abraído-Lanza

Echeverría

Flórez

et al. 2022

Front. Public Health

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“…Collaborating with stakeholders across disciplines (e.g., epidemiologists, clinical trialists) earlier along the research continuum with a focus on antiracism and equity is essential. Aligned with recent disciplinary critiques and recommendations for addressing structural racism in related fields (Alang et al, 2021; Bowleg, 2021; Boyd et al, 2020; Breland & Stanton, 2021; Buchanan et al, 2020; Hardeman & Karbeah, 2020; Merchant et al, 2021; South et al, 2020), we encourage implementation researchers to reflect critically and with care on their efforts around equity, invest in the implementation of policies, practices, and systems that are justice-centered, and consistently seize the opportunity to be more explicitly antiracist.…”

Section: Discussionmentioning

confidence: 98%

Application of an antiracism lens in the field of implementation science (IS): Recommendations for reframing implementation research with a focus on justice and racial equity

Shelton

Adsul

et al. 2021

Implementation Research and Practice

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Background Despite the promise of implementation science (IS) to reduce health inequities, critical gaps and opportunities remain in the field to promote health equity. Prioritizing racial equity and antiracism approaches is critical in these efforts, so that IS does not inadvertently exacerbate disparities based on the selection of frameworks, methods, interventions, and strategies that do not reflect consideration of structural racism and its impacts. Methods Grounded in extant research on structural racism and antiracism, we discuss the importance of advancing understanding of how structural racism as a system shapes racial health inequities and inequitable implementation of evidence-based interventions among racially and ethnically diverse communities. We outline recommendations for explicitly applying an antiracism lens to address structural racism and its manifests through IS. An anti-racism lens provides a framework to guide efforts to confront, address, and eradicate racism and racial privilege by helping people identify racism as a root cause of health inequities and critically examine how it is embedded in policies, structures, and systems that differentially affect racially and ethnically diverse populations. Results We provide guidance for the application of an antiracism lens in the field of IS, focusing on select core elements in implementation research, including: (1) stakeholder engagement; (2) conceptual frameworks and models; (3) development, selection, adaptation of EBIs; (4) evaluation approaches; and (5) implementation strategies. We highlight the need for foundational grounding in antiracism frameworks among implementation scientists to facilitate ongoing self-reflection, accountability, and attention to racial equity, and provide questions to guide such reflection and consideration. Conclusion We conclude with a reflection on how this is a critical time for IS to prioritize focus on justice, racial equity, and real-world equitable impact. Moving IS towards making consideration of health equity and an antiracism lens foundational is central to strengthening the field and enhancing its impact. Plain language abstract There are important gaps and opportunities that exist in promoting health equity through implementation science. Historically, the commonly used frameworks, measures, interventions, strategies, and approaches in the field have not been explicitly focused on equity, nor do they consider the role of structural racism in shaping health and inequitable delivery of evidence-based practices/programs. This work seeks to build off of the long history of research on structural racism and health, and seeks to provide guidance on how to apply an antiracism lens to select core elements of implementation research. We highlight important opportunities for the field to reflect and consider applying an antiracism approach in: 1) stakeholder/community engagement; 2) use of conceptual frameworks; 3) development, selection and adaptation of evidence-based interventions; 4) evaluation approaches; 5) implementation strategies (e.g., how to deliver evidence-based practices, programs, policies); and 6) how researchers conduct their research, with a focus on racial equity. This is an important time for the field of implementation science to prioritize a foundational focus on justice, equity, and real-world impact through the application of an anti-racism lens in their work.

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“…Here, discrimination refers specifically to discriminatory interpersonal interactions that occur in the larger context of systemic inequities ( Jones, 2000 ; Krieger, 2000 ). For example, interpersonal racism is directly perceived racist treatment, occurring in the context of structural racism that confers advantages to people considered White while oppressing other racialized groups ( Alang et al, 2021 ; Bonilla-Silva, 1997 ; Jones, 2000 ; Williams, Lawrence, & Davis, 2019 ; Williams & Mohammed, 2009 ). Similarly, an individual may directly experience discrimination based on their sexuality as a particular instance that reflects the larger social systems that grant advantages to heterosexual people ( Friedman et al, 2014 ; Sabinet al, 20 15 ).…”

Section: Introductionmentioning

confidence: 99%