Health Equity Cannot Be Sought Without the Consideration of Racism In Equity-Focused Urban Health Initiatives

• Published in: Journal of urban health Vol. 100; no. 4; pp. 834 - 838
• Main Authors: Naem, Mariem, Amri, Michelle, O’Campo, Patricia
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.08.2023; Springer Nature B.V
• Subjects: Cities; Climate change; Commentary; COVID-19; Critical race theory; Epidemiology; Fairness; Health care; Health care policy; Health disparities; Health Equity; Health Informatics; Health promotion; Humans; Inequality; Medicine; Medicine & Public Health; Minority & ethnic groups; Minority Groups; Players; Policy making; Public Health; Racial differences; Racism; Socioeconomic factors; Systemic racism; Urban areas; Urban Health; Global health; Health equity; Critical race theory; Public policy; Global urban health
• ISSN: 1099-3460; 1468-2869; 1468-2869
• DOI: 10.1007/s11524-023-00770-7

Given that racism is present worldwide, we believe it is imperative to address racism in the pursuit of health equity in cities. Despite the strengths of global urban health efforts in improving health equity, these initiatives can be furthered by explicitly considering systemic racism. Because racism is a major contributor to health issues, utilizing critical race theory (CRT) and taking an anti-racist perspective can help key players understand how racial health differences are initiated and sustained, which will subsequently inform solutions in seeking to address urban health inequities. Applying CRT within policymaking can happen in a variety of ways that are explored in this article. Ultimately, by acknowledging and responding to the effect of racism on groups within cities and the increased difficulties racialized minorities face, international players may use their power to transfer data and resources to cities that could benefit from specialized support.