Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks.
Inequalities in health have long been recognized as interconnected with social, economic, and various other inequalities. The application of social justice and equity, diversity, inclusion (EDI) frameworks may help expand interdisciplinary perspectives in addressing inequalities. This review study c...
| Publicado en: | International Journal for Equity in Health Vol. 23; no. 1; pp. 1 - 15 |
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| Autor principal: | |
| Formato: | research systematic review tables/charts Journal Article |
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BioMed Central
5/23/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177462180&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177462180 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14759276 1CR4 jtl: International Journal for Equity in Health issn: 14759276 maglogo: N pubinfo: dt: 5/23/2024 vid: 23 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 177462180 177462180 177462180 10.1186/s12939-024-02141-3 177462180 ppf: 1 ppct: 14 formats: tig: atl: Action against inequalities: a synthesis of social justice & equity, diversity, inclusion frameworks. aug: au: Hayvon, John C. affil: Edmonton, Canada sug: subj: Health Inequities Social Justice Health Status Disparities Cultural Diversity Health Services Accessibility Human Funding Source Systematic Review PubMed CINAHL Database Psycinfo Medline Consciousness Environmental Justice Implementation Science Intersectionality Socioeconomic Factors Violence Risk Assessment Critical Race Theory Methods Minority Groups Statistics and Numerical Data Models, Theoretical Ethnic Groups Descriptive Statistics ab: Inequalities in health have long been recognized as interconnected with social, economic, and various other inequalities. The application of social justice and equity, diversity, inclusion (EDI) frameworks may help expand interdisciplinary perspectives in addressing inequalities. This review study conducted an environmental scan for existing syntheses of theories, models, and frameworks (TMFs) relevant to the social justice and EDI. Results from Web of Science, Scopus, PubMed, CINAHL, PsychINFO, and MEDLINE retrieved an existing implementation science framework intently centered upon health inequalities, and draws from a synthesis of postcolonial theory, reflexivity, intersectionality, structural violence, and governance theory. Given this high degree of relevance to the objective of this review, the framework was selected as a basis for expanded synthesis. Subsequent processes sought to identify social justice TMFs which could be integrated into the base framework selected, as well as to refine scope of the study. Based upon considerations of level of evidence and non-tokenistic integration, the following social justice and EDI TMFs were identified: John Rawls' theory of justice; Amartya Sen's Capabilities Approach; Iris Marion Young's theories of justice; Paulo Freire's critical consciousness; and critical race theory (CRT). The focus of the synthesis performed was scoped towards minimizing potential harms arising from actions intending to reduce inequalities. EDI considerations were not collated into a singular construct, but rather extended as a separate component assessing inequitable distribution of risks and benefits given population heterogeneity. Reflexive analysis amended the framework with two key decisions: first, the integration of environmental justice into a single construct, which helps to inform Rawls' and Sen's TMFs; second, a temporal element of sequential-analysis was employed over a unified output. The result of synthesis consists of a three-component framework which: (1) presents sixteen constructs drawn from selected TMFs, to consider various harms or potential reinforcement of existing inequalities; (2) aims to de-invisibilize marginalized groups who are noted to experience inequitable outcomes, and acknowledges the presence of individuals belonging to multiple groups; and (3) synthesizes seven considerations related to equitable dissemination and evaluation as drawn from TMFs, separated for sequential analysis after assessment of harms. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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