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      Develando lo que dicen sobre raza y etnia las revistas de salud pública de Colombia Translated title: Revelando o que dizem sobre raça e etnia as revistas de saúde pública da Colômbia Translated title: Unveiling what is said in the colombian public health journals about race and ethnicity

      research-article
      CS
      Universidad Icesi
      Raça, etnia, saúde, saúde pública, Race, ethnicity, health, public health, Raza, etnia, salud, salud pública

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          Abstract

          Este artículo analiza cómo en investigaciones publicadas (período 1994-2011) en las tres principales revistas de salud pública de Colombia se conceptualiza, nomina e interpreta la categoría étnico-racial en relación a la población afrodescendiente en el país. Se identificó que es limitado el número de artículos publicados que abordan las nociones de raza o etnia; además, estas se usan de manera intercambiable, y no se conceptualiza ni se explícita el por qué ni cómo se recolectan estas categorías. Bajo la existencia de un racismo estructural, la inclusión de la dimensión etno-racial en las investigaciones de salud, contribuiría a identificar procesos y dinámicas que crean y recrean iniquidades etno-raciales en salud.

          Translated abstract

          Este artigo analisa como em pesquisas publicadas (período 1994-2011) nas três principais revistas de saúde pública da Colômbia se conceitua, nomina e interpreta a categoria étnico- racial em relação à população afrodescendente no país. Foi possível identificar que é limitado o número de artigos publicados que abordam as noções de raça ou etnia; além do mais, estas se usam de maneira intercambiável, e não se conceitua nem se explicita o porquê, nem como se coletam estas categorias. Sob a existência de um racismo estrutural, a inclusão da dimensão étnico-racial nas pesquisas de saúde, contribuiria para a identificação de processos e dinâmicas que criam e recriam iniquidades étnico-raciais em saúde.

          Translated abstract

          This article analyzes how in published studies (1994-2011) in the three main public health journals of Colombia are conceptualized, operationalized and interpreted racial and ethnic categories in relation to the black population. It was identified that are limited the number of published articles that address race or ethnicity; in addition, those notions are used interchangeably, and; it is not showed how is conceptualized and collected those social categories. Under the existence of structural racism, including ethno-racial categories in health research could help to identify processes and dynamics that create and recreate health disparities based on race and ethnicity.

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          Most cited references62

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          Racial/ethnic discrimination and health: findings from community studies.

          The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the extant research does not adequately address whether and how exposure to discrimination leads to increased risk of disease. Gaps in the literature include limitations linked to measurement of discrimination, research designs, and inattention to the way in which the association between discrimination and health unfolds over the life course. Research on stress points to important directions for the future assessment of discrimination and the testing of the underlying processes and mechanisms by which discrimination can lead to changes in health.
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            • Record: found
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            • Article: not found

            Racism and Health I: Pathways and Scientific Evidence.

            This article reviews the scientific research that indicates that despite marked declines in public support for negative racial attitudes in the United States, racism, in its multiple forms, remains embedded in American society. The focus of the article is on the review of empirical research that suggests that racism adversely affects the health of non-dominant racial populations in multiple ways. First, institutional racism developed policies and procedures that have reduced access to housing, neighborhood and educational quality, employment opportunities and other desirable resources in society. Second, cultural racism, at the societal and individual level, negatively affects economic status and health by creating a policy environment hostile to egalitarian policies, triggering negative stereotypes and discrimination that are pathogenic and fostering health damaging psychological responses such as stereotype threat and internalized racism. Finally, a large and growing body of evidence indicates that experiences of racial discrimination are an important type of psychosocial stressor that can lead to adverse changes in health status and altered behavioural patterns that increase health risks.
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              A systematic review of empirical research on self-reported racism and health.

              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.
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                Author and article information

                Journal
                recs
                CS
                CS
                Universidad Icesi (Cali, Valle del Cauca, Colombia )
                2011-0324
                August 2015
                : 16
                : 109-129
                Affiliations
                [01] Cali orgnameUniversidad del Valle Colombia jmosquera@ 123456grupogesp.org
                Article
                S2011-03242015000200006 S2011-0324(15)00001600006
                10.18046/recs.i15.1939
                3bd3463d-23df-47e0-b001-b7650ed42c3c

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 29 January 2015
                : 24 July 2015
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 36, Pages: 21
                Product

                SciELO Colombia

                Categories
                Artículos

                salud pública,salud,etnia,Raza,public health,health,ethnicity,Race,saúde pública,saúde,Raça

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