The C2DREAM framework: Investigating the structural mechanisms undergirding racial health inequities

Racism shapes the distribution of the social determinants of health (SDoH) along racial lines. Racism determines the environments in which people live, the quality of housing, and access to healthcare. Extensive research shows racism in its various forms negatively impacts health status, yet few stu...

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Bibliographic Details
Published in:Journal of clinical and translational science 2024, Vol.8 (1), p.e80-e80, Article e80
Main Authors: Orakwue, Kene, Hing, Anna K, Chantarat, Tongtan, Hersch, Derek, Okah, Ebiere, Allen, Michele, Patten, Christi A, Enders, Felicity T, Hardeman, Rachel, Phelan, Sean M
Format: Article
Language:English
Subjects:
Birth weight
cardiovascular disease
Cardiovascular diseases
Chronic illnesses
Clinical translational research
Community
Criminal investigations
Disease
Health care
Health disparities
Hypertension
Integration of Social Determinants of Health with Clinical and Translational Science
Obesity
Public health
Race
Racial discrimination
racism
social determinants of health
Society
Special Communication
Systemic racism
Translational Research, Design and Analysis
White supremacy
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Summary:Racism shapes the distribution of the social determinants of health (SDoH) along racial lines. Racism determines the environments in which people live, the quality of housing, and access to healthcare. Extensive research shows racism in its various forms negatively impacts health status, yet few studies and interventions seriously interrogate the role of racism in impacting health. The C2DREAM framework illuminates how exposure to racism, in multiple forms, connects to cardiovascular disease, hypertension, and obesity. The goal of the C2DREAM framework is to guide researchers to critically think about and measure the role of racism across its many levels of influence to better elucidate the ways it contributes to persistent health inequities. The conceptual framework highlights the interconnectedness between forms of racism, SDoH, and the lifecourse to provide a greater context to individual health outcomes. Utilizing this framework and critically contending with the effects of racism in its multiple and cumulative forms will lead to better research and interventions.
ISSN:2059-8661
2059-8661
DOI:10.1017/cts.2024.518