Health Inequalities amongst People of African Descent in the Americas, 2005–2017: A Systematic Review of the Literature

Ethnic inequalities are often associated with social determinants of health. This study seeks to identify the latest scientific evidence on inequalities in the health of people of African descent in the Americas. For this, a systematic review of the literature on health and people of African descent...

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Detalhes bibliográficos
Autores: Pino Marchito, Sandra del, Sánchez Montoya, Sol Beatriz, Milton Guzmán, José, Mújica, Oscar J., Gómez Salgado, Juan, Ruiz Frutos, Carlos
Formato: artículo
Fecha de publicación:2019
País:España
Recursos:Universidad de Huelva (UHU)
Repositorio:Arias Montano. Repositorio Institucional de la Universidad de Huelva
Idioma:inglés
OAI Identifier:oai:ariasmontano.uhu.es:10272/20985
Acesso em linha:http://hdl.handle.net/10272/20985
Access Level:acceso abierto
Palavra-chave:African-American
Systematic review
Social determinants of health
Health inequalities
Social inequity
Ethnicity
63 Sociología
Descrição
Resumo:Ethnic inequalities are often associated with social determinants of health. This study seeks to identify the latest scientific evidence on inequalities in the health of people of African descent in the Americas. For this, a systematic review of the literature on health and people of African descent in the Americas was carried out in the LILACS, PubMed, MEDLINE, and IBECS databases. Institutional and academic repositories were also consulted. Evidence was obtained on the presence and persistence of health inequalities in the population of African descent in the Americas from the identification of five types of quantitative and qualitative evidence: (1) ethnic/racial concept and variables; (2) relations with other social determinants; (3) health risks; (4) barriers and inequalities in health services; and, (5) morbi-mortality from chronic diseases. Studies with qualitative methods revealed invisibility, stereotypes, and rejection or exclusion as main factors of inequality. This review evidenced the existence of health inequalities, its interconnection with other adverse social determinants and risk factors, and its generation and perpetuation by discrimination, marginalization, and social disadvantage. These conditions make people of African descent a priority population group for action on equity, as demanded by the 2030 Agenda for Sustainable Development