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

Sandra del Pino, Sol Beatriz Sánchez-Montoya, José Milton Guzmán, Oscar J. Mújica, Juan Gómez-Salgado and Carlos Ruiz-Frutos
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Sandra del Pino: Cultural Diversity, Office of Equity, Gender and Cultural Diversity, Pan American Health Organization, PAHO/WHO, Washington, DC 20037, USA
Sol Beatriz Sánchez-Montoya: Independent Consultant, Bogota 235367, Colombia
José Milton Guzmán: Health and Cultural Diversity, El Chaco Region, Pan American Health Organization, PAHO/WHO, Asuncion 595-21, Paraguay
Oscar J. Mújica: Social Epidemiology and Health Equity, Department of Evidence and Intelligence for Action in Health, Pan American Health Organization, PAHO/WHO, Washington, DC 20037, USA
Juan Gómez-Salgado: Department of Sociology, Social Work and Public Health, University of Huelva, 21007 Huelva, Spain
Carlos Ruiz-Frutos: Department of Sociology, Social Work and Public Health, University of Huelva, 21007 Huelva, Spain

IJERPH, 2019, vol. 16, issue 18, 1-24

Abstract: 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.

Keywords: systematic review; social determinants of health; health inequalities; social inequity; ethnicity; African-American (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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