Defining Racial Health Equity (RHE): A Landscape Review of Definitions, Terminology and Related Concepts

Session: 

Global health, equity and partnerships

Date: 

Tuesday 5 September 2023 - 11:25 to 11:35

Location: 

Albert

All authors in correct order:

Heyn PC1, Terhune EA1, Riddle D2, Pizarro AB3, Francis D4, Sathe N5, Viswanathan M5, Ovelman C5, Dagne M1, Welch VA6, Dewidar O7, Rizvi A8, Duque T9, Zanwar PP1
1 Center for Optimal Aging, Marymount University, USA
2 Center for Translational Research, Texas Christian University, USA
3 Clinical Research Center, Fundación Valle del Lili, Colombia
4 Georgia College and State University, USA
5 RTI International, RTI-UNC US Cochrane Affiliate, USA
6 School of Epidemiology and Public Health, University of Ottawa,, Canada
7 School of Epidemiology and Public Health, University of Ottawa, Canada
8 School of Psychology, University of Ottawa, Canada
9 Cochrane, USA, USA
Presenting author and contact person

Presenting authors:

Patricia Heyn

Contact person:

Elizabeth Terhune
Patricia Heyn
Tiffany Duque
Mahederemariam Bayleyegn Dagne
Abstract text
Background: Vast gaps in healthcare access exist within the United States, particularly across racial and ethnic groups. Promoting health equity has become a priority of the US government and major health organizations; however, a national consensus on shared definitions of these terms does not yet exist. In this study, we will compile, evaluate, and synthesize “racial health equity” (RHE) definitions via a landscape review. Inclusion criteria will encompass systematic reviews, primary literature, narrative reviews, and healthcare guides that include RHE definitions. Defining RHE is a first step to centering and advancing racial health equity.

Objectives: To evaluate RHE terminology and definitions from key health organizations, primary articles, narrative reviews, and systematic reviews and to compile and synthesize findings to evaluate research gaps and make recommendations for future research.

Methods: We developed a three-part search strategy to encompass RHE definitions. First, definitions of RHE were compiled from major health organizations with relevance to high-income countries. Second, for systematic reviews, we used a comprehensive search strategy in MEDLINE, Psychinfo, the Cochrane Library, and Campbell systematic reviews since 2020. Third, for primary research articles and narrative reviews, we searched MEDLINE, CINAHL, Psychinfo, and the Campbell Collaboration library, with no date restriction. Both systematic search strategies were developed with a research librarian. Study title/abstracts and full texts will be screened by two reviewers and disputes will be resolved by consensus.

Results: Health equity definitions largely differed across healthcare organizations, although some definitions were shared and cited the same original source. Few major healthcare organizations reported explicit definitions of RHE, although it was commonly listed as a priority. Preliminary search results of RHE across primary research articles yielded ~2,500 articles. Search results of systematic reviews identified >7,500 citations.

Conclusions: Defining racial health equity is a first step toward establishing actionable interventions to further research and reduce health inequities. This landscape review is part of a larger research project, funded by the Robert Wood Johnson Foundation, investigating racial health equity in systematic reviews.

Patient, public and/or healthcare consumer involvement: This study and the parent project were reviewed by multiple diverse stakeholders in healthcare.